Individual
MR. CARLOS FRANCISCO AVILES-MARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1207 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4101
(215) 851-1801
(215) 851-1775
Mailing address
1207 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4101
(215) 851-1801
(215) 851-1775
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
01/10/2012
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