Provider Demographics
NPI:1801942073
Name:MEJIAS FRANQUI, DIEGO E (MD)
Entity type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:E
Last Name:MEJIAS FRANQUI
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 1:1255 CALLE 52 SE
Mailing Address - Street 2:URB LA RIVIERA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3139
Mailing Address - Country:US
Mailing Address - Phone:787-782-7076
Mailing Address - Fax:787-782-7076
Practice Address - Street 1:1255 CALLE 52 SE
Practice Address - Street 2:URB LA RIVIERA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3139
Practice Address - Country:US
Practice Address - Phone:787-782-7076
Practice Address - Fax:787-782-7076
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5536208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77503Medicare UPIN
PR27199Medicare ID - Type Unspecified