MEDICARE: DR. MANUEL E MARCANO RIVERA 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	208D00000X	General Practice Physician	9885	PR

General Provider Information

NPI Number	:	1447224746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL E MARCANO RIVERA MD

Provider Business Mailing Address
First Line	:	PO BOX 144035
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00614-4035
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	12/13/2025

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