Provider Demographics
NPI:1366563488
Name:CAMPOS, JOSE FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FRANCISCO
Last Name:CAMPOS
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 9172
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9172
Mailing Address - Country:US
Mailing Address - Phone:787-360-8952
Mailing Address - Fax:
Practice Address - Street 1:EDIF. SPRINT METRO OFFICE PARK
Practice Address - Street 2:CALLE 1 LOTE 18 SUITE 400
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-785-3875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7234146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28749OtherSSS
PR28749OtherSSS