Basic Information
Provider Information
NPI: 1205907706
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOLDEROS SANABRIA
FirstName: FRANCISCO
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1362 MAGDALENA AVE.
Address2: COND. PLAZA STELLA, APT. 403
City: SAN JUAN
State: PR
PostalCode: 009072085
CountryCode: US
TelephoneNumber: 7874693655
FaxNumber: 7876531280
Practice Location
Address1: HIMA SAN PABLO CAGUAS 100 LUIS MUNOZ MARIN AVE
Address2: MARIOLGA
City: CAGUAS
State: PR
PostalCode: 007254081
CountryCode: US
TelephoneNumber: 7876533434
FaxNumber: 7879611901
Other Information
ProviderEnumerationDate: 11/13/2006
LastUpdateDate: 06/14/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X6254PRY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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