Provider Demographics
NPI:1346446523
Name:FRANQUI, PORFIRIO (MD)
Entity type:Individual
Prefix:DR
First Name:PORFIRIO
Middle Name:
Last Name: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:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0042
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-621-3710
Practice Address - Street 1:ROAD # 2 URB. ATENAS
Practice Address - Street 2:CALLE HERNANDEZ CARRION
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3700
Practice Address - Fax:787-621-3710
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1001678OtherMMM
PRPE3483OtherPALIC
PR212084OtherMCS
PR1116OtherIMC
PR6120062OtherHUMANA
PR061684OtherCRUZ AZUL
PR3612084OtherUIA
PR6120062OtherHUMANA