Organization
ABACOA CORPORATION PSC
Active
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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