Provider Demographics
NPI:1689653222
Name:BELLAFLORES, FRANCISCO R (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:R
Last Name:BELLAFLORES
Suffix:
Gender:M
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:PARQUE DEL ORIENTE STREET #77
Mailing Address - Street 2:PASEO DEL PARQUE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-764-5694
Mailing Address - Fax:787-764-5694
Practice Address - Street 1:AMERICO MIRANADA AVE #953
Practice Address - Street 2:REPARTO METROPOLITANO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-764-5694
Practice Address - Fax:787-764-5694
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7765207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E77688Medicare UPIN
PR29448BEMedicare ID - Type Unspecified