Provider Demographics
NPI:1265616056
Name:EFFIO, EUCLIDES JR (MD)
Entity type:Individual
Prefix:
First Name:EUCLIDES
Middle Name:
Last Name:EFFIO
Suffix:JR
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 1:241 AVE WINSTON CHURCHILL APT 16
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6628
Mailing Address - Country:US
Mailing Address - Phone:787-761-6060
Mailing Address - Fax:
Practice Address - Street 1:241 AVE WINSTON CHURCHILL APT 16
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6628
Practice Address - Country:US
Practice Address - Phone:787-761-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR80E390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program