Doctor Name: | MR. PEDRO ANTONIO MARIANI MOLINI |
NPI Number: | 1013000181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 15185 |
Business Practice Address: | Car 101 Km 16-2 Sector Los Arenas Boqueron, PR - 00623 |
Business Phone Number: | 7872552775 |
Business Fax Number: | 7872541920 |
Mailing Address: | Po Box 5103, Pmb 72 CABO ROJO |
State: | PR |
Postal Code: | 00623 |
Phone Number: | 7872552775 |
Fax Number: | 7872541920 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 12/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |