# ABACOA CORPORATION PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARCANO AMBULATORY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861870958
- **Authorized official:** DR. MANUEL EUGENIO MARCANO M.D. (PRESIDENTE)
- **Authorized official phone:** (787) 224-4617

## Contact information

- **Practice address:** 115 CALLE ARIOSTO CRUZ, ARECIBO, PR 00612
- **Practice address phone:** (787) 878-3151
- **Practice address fax:** (787) 880-7733
- **Mailing address:** 115 CALLE ARIOSTO CRUZ, ARECIBO, PR 00612-4745
- **Mailing address phone:** (787) 878-3151
- **Mailing address fax:** (787) 880-7733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | — | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015