Provider Demographics
NPI:1689785891
Name:FRANCO, EDGARDO (MD)
Entity Type:Individual
Prefix:
First Name:EDGARDO
Middle Name:
Last Name:FRANCO
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:PO BOX 6653
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6653
Mailing Address - Country:US
Mailing Address - Phone:787-426-2027
Mailing Address - Fax:877-631-4567
Practice Address - Street 1:CALLE MUNOZ RIVERA ESQ. LOPEZ FLORES SUITE 3
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-426-2027
Practice Address - Fax:877-631-4567
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14620208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021685Medicare ID - Type Unspecified