Doctor Name: | DR. MARJORIE ACOSTA GUILLOT |
NPI Number: | 1013166107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 17,279 |
Business Practice Address: | Condominio.chalets De Rio Hondo.apto305 Bayamon, PR - 00961 |
Business Phone Number: | 7872466352 |
Business Fax Number: | |
Mailing Address: | Condominio.chalets De Rio Hondo.apto305, BAYAMON |
State: | PR |
Postal Code: | 00961 |
Phone Number: | 7872466352 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2008 |
NPI Last Update Date: | 09/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17,279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |