Provider Demographics
NPI:1326139767
Name:BERGES, FRANCISCO (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:FRANCISCO
Middle Name:
Last Name:BERGES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VEREDA REAL A 23
Mailing Address - Street 2:URB LAS VEREDAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-740-5486
Mailing Address - Fax:787-778-0453
Practice Address - Street 1:AVE MAIN URB SANTA ROSA
Practice Address - Street 2:BLG 31 #41
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-778-0453
Practice Address - Fax:787-778-0453
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR68129Medicare ID - Type Unspecified