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NPI Code Detail

MEDICARE: MANUEL A MARCIAL M.D.

MEDICARE:   MANUEL A MARCIAL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician7716PR

General Provider Information

NPI Number : 1871578864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL A MARCIAL M.D.
Provider Business Mailing Address
First Line : 1760 CALLE LOIZA
Second Line : SUITE 203
City : SAN JUAN
State : PR
Zip : 00911-1801
Country : US
Telephone Number : 787-726-5454
Fax Number : 787-727-0330
Provider Business Practice Location Address
First Line : 1760 CALLE LOIZA
Second Line : SUITE 203
City : SAN JUAN
State : PR
Zip : 00911-1801
Country : US
Telephone Number : 787-726-5454
Fax Number : 787-727-0330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/23/2013

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Directions to “ MANUEL A MARCIAL M.D.” Practice Location

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