Provider Demographics
NPI:1124176128
Name:MACHADO, FRANCISCO JOSE JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:MACHADO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 PASEO FLORES
Mailing Address - Street 2:PRIMAVERA-ENCANTADA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-318-6946
Mailing Address - Fax:787-761-5934
Practice Address - Street 1:40 PASEO DE LAS FLORES
Practice Address - Street 2:PRIMAVERA-ENCANTADA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-6037
Practice Address - Country:US
Practice Address - Phone:787-318-6946
Practice Address - Fax:787-761-5934
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2015-02-26
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Provider Licenses
StateLicense IDTaxonomies
PR11612208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11612OtherMEDICAL STATE LICENSE