Provider Demographics
NPI:1154679983
Name:FRANCISCO LAFONTAINE INTERNAL MEDICINE CP
Entity Type:Organization
Organization Name:FRANCISCO LAFONTAINE INTERNAL MEDICINE CP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFONTAINE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-871-1098
Mailing Address - Street 1:ESTANCIAS DE TORTUGUERO 414 CALLE TULANE
Mailing Address - Street 2:
Mailing Address - City:BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-871-1098
Mailing Address - Fax:
Practice Address - Street 1:4 CALLE HOSPITAL
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-3310
Practice Address - Country:US
Practice Address - Phone:787-871-1098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty