Individual
MR. ALFREDO BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEGETAU AVE. A17 SAN ALFONSO, BOX5327, CAGUAS, PR 00726-5327
(787) 653-5353
(787) 653-5364
Mailing address
PO BOX 5327, CAGUAS, PR 00726-5327
(787) 653-5353
(787) 653-5364
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
006678
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068430
CRUZ AZUL
—
01
—
28527BE
SSS
—
01
—
3643
PREFERRED MEDICARE CHOICE
—
01
—
8000565
HUMANA
—
01
—
998035
MEDICARE MUCHO MAS
—
Enumeration date
05/04/2006
Last updated
03/11/2014
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