| Doctor Name: | DR. ROBERTO A MENJIVAR BUCCIANTINI |
| NPI Number: | 1730149808 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 13676 |
| Business Practice Address: | Doctors' Center Hospital 1395 Calle San Rafael Santurce, PR - 00910 |
| Business Phone Number: | 7879997620 |
| Business Fax Number: | 7877252124 |
| Mailing Address: | Sabanera Street Finquitas Del Monte, #312 CIDRA |
| State: | PR |
| Postal Code: | 00739 |
| Phone Number: | 7874210454 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 11/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |