Provider Demographics
NPI:1891793485
Name:FERRAN, JUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:
Last Name:FERRAN
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 1797
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1797
Mailing Address - Country:US
Mailing Address - Phone:787-740-8121
Mailing Address - Fax:787-740-8121
Practice Address - Street 1:D-14 AVE BETANCES
Practice Address - Street 2:URB HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5167
Practice Address - Country:US
Practice Address - Phone:787-740-8121
Practice Address - Fax:787-740-8121
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3426208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79331Medicare UPIN