Organization
ABACOA CORPORATION PSC
Active
Other names
MARCANO AMBULATORY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL EUGENIO MARCANO M.D. (PRESIDENTE)
(787) 224-4617
Entity
Organization
Contact information
Practice address
115 CALLE ARIOSTO CRUZ, ARECIBO, PR 00612
(787) 878-3151
(787) 880-7733
Mailing address
115 CALLE ARIOSTO CRUZ, ARECIBO, PR 00612-4745
(787) 878-3151
(787) 880-7733
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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