| Doctor Name: | JUAN MARIN |
| NPI Number: | 1598709768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 14040 |
| Business Practice Address: | Carr 486 Km. 0.2 Bo. Puente Camuy, PR - 00627 |
| Business Phone Number: | 7878987788 |
| Business Fax Number: | |
| Mailing Address: | Calle 3 Casa E-2, Urb. Ocean View ARECIBO |
| State: | PR |
| Postal Code: | 006123510 |
| Phone Number: | 7876434747 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |