Provider Demographics
NPI:1164490108
Name:QUINTANA GONZALEZ, FRANCISCO JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:QUINTANA GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 BOULEVARD SAN LUIS
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2246
Mailing Address - Country:US
Mailing Address - Phone:787-290-1141
Mailing Address - Fax:787-848-5985
Practice Address - Street 1:MARGINAL 506 LOCAL #2
Practice Address - Street 2:
Practice Address - City:COTO LAUREL PR
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-787-8487
Practice Address - Fax:787-848-4539
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12768207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR768OtherUIA
PR84083OtherTRIPLE SSS
PR02138OtherAMERICAN HEALTH
PR061926OtherCRUZ AZUL
PR601229OtherMMM
PR7650009OtherHUMANA
PR7650009OtherHUMANA PRIVADO
PRM216OtherMENONITA
PR7217OtherIMC
PR40905OtherPROSAM
PRPE4588OtherPALIC
PA209485OtherUTI
PR1540OtherPMC
PRM216OtherMENONITA