Provider Demographics
NPI:1558747618
Name:BEAUCHAMP-PEREZ, FRANCIS DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:DANIEL
Last Name:BEAUCHAMP-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:D
Other - Last Name:BEAUCHAMP PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:405 JUAN B RODRIGUEZ
Mailing Address - Street 2:APT 801-1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-0000
Mailing Address - Country:US
Mailing Address - Phone:787-366-3223
Mailing Address - Fax:
Practice Address - Street 1:1507 AVE JUAN PONCE DE LEON
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-366-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PR22694207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program