Provider Demographics
NPI:1457336646
Name:FRIAS, FRANCISCO M (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:M
Last Name:FRIAS
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 1:66 AVE. DE DIEGO
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4542
Mailing Address - Country:US
Mailing Address - Phone:787-878-0303
Mailing Address - Fax:787-815-1234
Practice Address - Street 1:66 AVE. DE DIEGO
Practice Address - Street 2:SUITE 204
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4542
Practice Address - Country:US
Practice Address - Phone:787-878-0303
Practice Address - Fax:787-815-1234
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3083174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDO 8638Medicare UPIN