Organization
O2 STAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIBAL MARIANO MARIN CCP (CEO)
(787) 538-4680
Entity
Organization
Contact information
Practice address
33 CALLE DR VEVE, BAYAMON, PR 00961-6302
(787) 538-4680
Mailing address
33 CALLE DR VEVE, BAYAMON, PR 00961-6302
(787) 538-4680
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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