Provider Demographics
NPI:1740252279
Name:SANMARTIN, FRANCISCO RAMON (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:RAMON
Last Name:SANMARTIN
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 1:976 MCLEAN AVE
Mailing Address - Street 2:SUITE 387
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-4105
Mailing Address - Country:US
Mailing Address - Phone:914-237-6797
Mailing Address - Fax:914-206-4950
Practice Address - Street 1:3211 ROUSE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-2117
Practice Address - Country:US
Practice Address - Phone:914-237-6797
Practice Address - Fax:914-206-4950
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME920392086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30390OtherBC/BS OF FLORIDA
FLU5945TMedicare PIN
FL30390OtherBC/BS OF FLORIDA
FLU5945WMedicare PIN
FLU5945YMedicare PIN
FLU5945VMedicare PIN
FLP00285341Medicare PIN