Provider Demographics
NPI:1700911237
Name:ESCODA, FRANCISCO MARCELO (RPH)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:MARCELO
Last Name:ESCODA
Suffix:
Gender:M
Credentials:RPH
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 2510
Mailing Address - Street 2:PMB 227
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-2510
Mailing Address - Country:US
Mailing Address - Phone:787-755-1221
Mailing Address - Fax:787-755-1288
Practice Address - Street 1:STREET #852 KILOMETER 0.1
Practice Address - Street 2:INT 181 PR
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-755-1221
Practice Address - Fax:787-755-1288
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist