Doctor Name: | MARCOLINA PALACIOS MARTINEZ |
NPI Number: | 1538128756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 7083 |
Business Practice Address: | 4cs1 Via 53 Villa Fontana Carolina, PR - 009834804 |
Business Phone Number: | 7877622085 |
Business Fax Number: | |
Mailing Address: | Po Box 30052, SAN JUAN |
State: | PR |
Postal Code: | 009291052 |
Phone Number: | 7872837019 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 7083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |