Doctor Name: | DR. MARIE CARMEN MARCANO |
NPI Number: | 1578688750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16587 |
Business Practice Address: | Y24 Ave L Munoz Marin Urb. Mariolga Caguas, PR - 007256478 |
Business Phone Number: | 9395790155 |
Business Fax Number: | |
Mailing Address: | 111 Mango Beach St., The Village At The Hill CEIBA |
State: | PR |
Postal Code: | 00735 |
Phone Number: | 9395790155 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |