Provider Demographics
NPI:1013927185
Name:LLULL, FRANCISCO J (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:J
Last Name:LLULL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY ST.
Mailing Address - Street 2:2355
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0706
Mailing Address - Country:US
Mailing Address - Phone:787-844-8475
Mailing Address - Fax:787-841-0943
Practice Address - Street 1:2363 LAS AMERICAS AVE.
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0776
Practice Address - Country:US
Practice Address - Phone:787-284-0000
Practice Address - Fax:787-841-0943
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRDM-14794-21223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice