Provider Demographics
NPI:1225060593
Name:BLANES MAYANS, FRANCISCO J (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:BLANES MAYANS
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:PO BOX 1270
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1270
Mailing Address - Country:US
Mailing Address - Phone:787-201-5442
Mailing Address - Fax:787-434-0239
Practice Address - Street 1:202 JULIO CINTRON ST
Practice Address - Street 2:GUAYACAN BLDG STE 218
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-0001
Practice Address - Country:US
Practice Address - Phone:787-201-5442
Practice Address - Fax:787-434-0239
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12873208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G97065Medicare UPIN
90174Medicare ID - Type Unspecified