Provider Demographics
NPI:1861638173
Name:CORNEJO, FRANCISCO ABDON
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:ABDON
Last Name:CORNEJO
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:HOSPITAL AMERICANO BASE NAVAL DE ROTA
Mailing Address - Street 2:APARTADO DE CORREOS 33
Mailing Address - City:ROTA, CADIZ
Mailing Address - State:ROTA
Mailing Address - Zip Code:11530
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL AMERICANO BASE NAVAL DE ROTA
Practice Address - Street 2:APARTADO DE CORREOS 33
Practice Address - City:ROTA, CADIZ
Practice Address - State:ROTA
Practice Address - Zip Code:11530
Practice Address - Country:ES
Practice Address - Phone:314-727-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60412363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical