Provider Demographics
NPI:1104971076
Name:FRANCIS MARCON, LUIS A (PHD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:FRANCIS MARCON
Suffix:
Gender:M
Credentials:PHD
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 3473
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3473
Mailing Address - Country:US
Mailing Address - Phone:787-565-1922
Mailing Address - Fax:
Practice Address - Street 1:CLINICA LAS AMERICAS
Practice Address - Street 2:400 F.D. ROOSEVELT SUITE 501
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2103
Practice Address - Country:US
Practice Address - Phone:787-410-6404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000062103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0000062OtherLICENCIA
PR456271OtherFHC PROVIDER
PR5-6567FROtherTRIPLE S PROVIDER