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Individual

DR. MARCO ANTONIO ESCOBEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
917 AVE TITO CASTRO, PONCE, PR 00716
(787) 843-3031
Mailing address
PO BOX 336810, PONCE, PR 00733-6810

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34027
PR
207Q00000X
Family Medicine Physician
BP10052386
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34027
PR
Enumeration date
03/24/2015
Last updated
08/11/2018
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