Organization
JOANNE MARIN FAVALE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE M MARIN M.D. (PRESIDENT)
(787) 754-1422
Entity
Organization
Contact information
Practice address
AVE. ROOSEVELT, 156, HATO REY, PR 00918
(787) 754-1422
(787) 754-8555
Mailing address
1353 AVE LUIS VIGOREAUX, PMB 647, GUAYNABO, PR 00966-2715
(787) 754-1422
(787) 754-8555
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
PR
261QR0200X
Radiology Clinic/Center
Primary
—
PR
261QR0206X
Mammography Clinic/Center
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84936JO
SSS
PR
Enumeration date
05/22/2007
Last updated
09/06/2013
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