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NPI Code Detail

MEDICARE: MARKAN MEDICINE CSP

MEDICARE: MARKAN MEDICINE CSP
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
1261QC1800XCorporate Health Clinic/Center

General Provider Information

NPI Number : 1427180215
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARKAN MEDICINE CSP
Provider Business Mailing Address
First Line : 115 CALLE ARIOSTO CRUZ
Second Line :
City : ARECIBO
State : PR
Zip : 00612-4745
Country : US
Telephone Number : 787-878-3151
Fax Number : 787-878-7274
Provider Business Practice Location Address
First Line : 115 CALLE ARIOSTO CRUZ
Second Line :
City : ARECIBO
State : PR
Zip : 00612-4745
Country : US
Telephone Number : 787-878-3151
Fax Number : 787-878-7274
Authorized Official
Title or Position : PRESIDENT
Name : MANUEL E MARCANO
Credential : MD
Telephone Number : 787-878-3151
Provider Enumeration Date : 03/09/2007
Last Update Date : 12/21/2009

Similar Medicare Providers

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Practice Location Address:
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Directions to “MARKAN MEDICINE CSP ” Practice Location

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