Provider Demographics
NPI:1356511323
Name:REY ALBERTO FRANCO MD PC
Entity Type:Organization
Organization Name:REY ALBERTO FRANCO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-846-4535
Mailing Address - Street 1:PO BOX 940
Mailing Address - Street 2:805 WEST CEDAR STREET
Mailing Address - City:STANDISH
Mailing Address - State:MI
Mailing Address - Zip Code:48658-0940
Mailing Address - Country:US
Mailing Address - Phone:989-846-4535
Mailing Address - Fax:989-846-6580
Practice Address - Street 1:805 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:MI
Practice Address - Zip Code:48658-9526
Practice Address - Country:US
Practice Address - Phone:989-846-4535
Practice Address - Fax:989-846-6580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301037610174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0060003OtherBCBSM
MI1442947Medicaid
MI1442947Medicaid