Provider Demographics
NPI:1568760510
Name:FRANCISCO, ROLANDO FRANCISCO
Entity Type:Individual
Prefix:MR
First Name:ROLANDO
Middle Name:FRANCISCO
Last Name:FRANCISCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 VIA BRIDA
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3308
Mailing Address - Country:US
Mailing Address - Phone:949-412-7614
Mailing Address - Fax:949-888-9580
Practice Address - Street 1:36 VIA BRIDA
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3308
Practice Address - Country:US
Practice Address - Phone:949-412-7614
Practice Address - Fax:949-888-9580
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)