Doctor Name: | JUAN MANUEL CORCHADO |
NPI Number: | 1043665631 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13776-I |
Business Practice Address: | Carr Numero 2 Avenida Severiano Numero 18 Cuevas Aguadilla, PR - 00605 |
Business Phone Number: | 7876580000 |
Business Fax Number: | |
Mailing Address: | Carr 494 Km1 He 1, ISABELA |
State: | PR |
Postal Code: | 00662 |
Phone Number: | 7878726281 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2016 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 13776-I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |