Provider Demographics
NPI:1063166155
Name:OCASIO FRANCO, TANYA JUDITH (MD)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:JUDITH
Last Name:OCASIO FRANCO
Suffix:
Gender:F
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:URB SABANERA DEL RIO 464
Mailing Address - Street 2:CAMINO DE LOS TAMARINDOS
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-717-1126
Mailing Address - Fax:
Practice Address - Street 1:URB SABANERA DEL RIO 464
Practice Address - Street 2:CAMINO DE LOS TAMARINDOS
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0077
Practice Address - Country:US
Practice Address - Phone:787-717-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23112208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice