Provider Demographics
NPI:1154396315
Name:GARRASTEGUI, FRANCISCO ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:GARRASTEGUI
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:PO BOX 1587
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-1587
Mailing Address - Country:US
Mailing Address - Phone:787-280-7022
Mailing Address - Fax:
Practice Address - Street 1:CALLE MUNOZ RIVERA
Practice Address - Street 2:#23
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-1587
Practice Address - Country:US
Practice Address - Phone:787-280-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10996208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice