Provider Demographics
NPI:1871928994
Name:FUENTES, FRANSIS (PHARMACY TECH)
Entity type:Individual
Prefix:
First Name:FRANSIS
Middle Name:
Last Name:FUENTES
Suffix:
Gender:F
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 75 BOX 1119
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-9732
Mailing Address - Country:US
Mailing Address - Phone:787-412-8314
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA NUMERO 2, KM 8.5
Practice Address - Street 2:SECTOR JUAN DOMINGO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-782-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7397247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other