Provider Demographics
NPI:1225120140
Name:DUBOCQ - VENTURA, FRANCIS M (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:M
Last Name:DUBOCQ - VENTURA
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 1:68 CALLE SANTA CRUZ
Mailing Address - Street 2:101 TORRE SAN PABLO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7031
Mailing Address - Country:US
Mailing Address - Phone:787-786-5305
Mailing Address - Fax:787-740-2140
Practice Address - Street 1:68 CALLE SANTA CRUZ
Practice Address - Street 2:TORRE SAN PABLO SUITE 101
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7031
Practice Address - Country:US
Practice Address - Phone:787-786-5305
Practice Address - Fax:787-740-2140
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2953208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCO860ZOtherPETAN
93635Medicare ID - Type Unspecified
C78049Medicare UPIN
PR0093635Medicare UPIN