Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 22550 | PR |
N | 204F00000X | Transplant Surgeon | 292290 | NY |
N | 208200000X | Surgeon | 22550 | PR |
N | 208600000X | Surgeon | 22550 | PR |
NPI | 1225477276 |
---|---|
Provider Name | Francis Bauldrick-Hernandez |
First Address | San Juan, PR 00919-1227 |
Second Address | San Juan, PR 00919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 03/02/2022 |