MEDICARE: MRS. MARTA CARCANA R.N.

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	163W00000X	Registered Nurse	14820	PR
2	163WE0003X	Emergency Registered Nurse	14820	PR
3	163WM0705X	Medical-Surgical Registered Nurse	14820	PR
4	163WS0121X	Plastic Surgery Registered Nurse	14820	PR

General Provider Information

NPI Number	:	1285714220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARTA CARCANA R.N.

Provider Business Mailing Address
First Line	:	HC 71 BOX 7723
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00736-9585
Country	:	US
Telephone Number	:	787-747-4921
Fax Number	:	787-289-1515

Provider Business Practice Location Address
First Line	:	STOP 3 1/2 GENERAL ESTEVES ST
Second Line	:	PUERTA DE TIERRA
City	:	SAN JUAN
State	:	PR
Zip	:	00902-0000
Country	:	US
Telephone Number	:	787-289-1656
Fax Number	:	787-289-1515

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	09/11/2025

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