MEDICARE: MR. JOSE A MARQUES BIBILONI SR. MD

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
1	207RH0003X	Hematology & Oncology Physician	10042	PR

General Provider Information

NPI Number	:	1033101068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE A MARQUES BIBILONI SR. MD

Provider Business Mailing Address
First Line	:	PO BOX 19798
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910-1798
Country	:	US
Telephone Number	:	787-728-2479
Fax Number	:	787-726-7447

Provider Business Practice Location Address
First Line	:	MANUEL PAVIA FERNANDEZ 655 4TH PISO
Second Line	:
City	:	SANTURCE
State	:	PR
Zip	:	00909
Country	:	US
Telephone Number	:	787-728-2479
Fax Number	:	787-786-7447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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