MEDICARE: DR. RAUL HECTOR MARQUEZ-SARRAGA M.D.

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	208600000X	Surgery Physician	8476	PR

General Provider Information

NPI Number	:	1710981048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAUL HECTOR MARQUEZ-SARRAGA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 16696
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00908-6696
Country	:	US
Telephone Number	:	787-725-6562
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 CALLE WASHINGTON
Second Line	:	STE 702
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1521
Country	:	US
Telephone Number	:	787-725-6562
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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