Healthcare Provider Details

I. General information

NPI: 1972006211
Provider Name (Legal Business Name): MARCANTONIO VALERIO PINCI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PASEO SAN PABLO
BAYAMON PR
00961-7027
US

IV. Provider business mailing address

172 CALLE GRANITO
RIO GRANDE PR
00745-4331
US

V. Phone/Fax

Practice location:
  • Phone: 787-620-9414
  • Fax: 787-620-4325
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number24320
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: