Doctor Name: | DR. JOSE NIEVES MARCANO |
NPI Number: | 1902008881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10409 |
Business Practice Address: | Calle 8, I-12 Urb Colinas Del Yunque Rio Grande, PR - 00745 |
Business Phone Number: | 7876575780 |
Business Fax Number: | |
Mailing Address: | Po Box 43002, Suite 233 RIO GRANDE |
State: | PR |
Postal Code: | 007456601 |
Phone Number: | 7876575780 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |