Provider Demographics
NPI:1235115247
Name:BEAUCHAMP-ROCHE, FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:BEAUCHAMP-ROCHE
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 3946
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-3946
Mailing Address - Country:US
Mailing Address - Phone:787-805-7475
Mailing Address - Fax:787-805-7495
Practice Address - Street 1:CARR 107 REPARTO LOPEZ
Practice Address - Street 2:164
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-0164
Practice Address - Country:US
Practice Address - Phone:787-805-7475
Practice Address - Fax:787-805-7495
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9459174400000X
PR9159208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
F28737Medicare UPIN
82738Medicare PIN
PRF28737Medicare UPIN