Provider Demographics
NPI:1427009950
Name:FRANQUI PAGAN, SANDRA (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:FRANQUI PAGAN
Suffix:
Gender:F
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:URB LA ANTIGUA 17 VIA MAYORCA
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6101
Mailing Address - Country:US
Mailing Address - Phone:787-579-2506
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL SAN JUAN CAPESTRANO
Practice Address - Street 2:URB LAS LOMAS CARR. 877 KM 1.6
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-625-2900
Practice Address - Fax:787-761-0613
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR010889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021437Medicare PIN
H88592Medicare UPIN