Provider Demographics
NPI:1790762334
Name:AMADOR, FRANCISCO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:AMADOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:902 AVE PONCE DE LEON
Mailing Address - Street 2:MIRAMAR EMBASSY APT.1006
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3367
Mailing Address - Country:US
Mailing Address - Phone:787-413-1111
Mailing Address - Fax:
Practice Address - Street 1:435 AVE HOSTOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3014
Practice Address - Country:US
Practice Address - Phone:787-753-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-26
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR129592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH82905Medicare UPIN
PRH82905Medicare UPIN