Healthcare Provider Details

I. General information

NPI: 1285714220
Provider Name (Legal Business Name): MARTA CARCANA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STOP 3 1/2 GENERAL ESTEVES ST PUERTA DE TIERRA
SAN JUAN PR
00902-0000
US

IV. Provider business mailing address

HC 71 BOX 7723
CAYEY PR
00736-9585
US

V. Phone/Fax

Practice location:
  • Phone: 787-289-1656
  • Fax: 787-289-1515
Mailing address:
  • Phone: 787-747-4921
  • Fax: 787-289-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14820
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number14820
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number14820
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number14820
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: