Provider Demographics
NPI:1144211863
Name:MANANA FERRO, ANA M (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:MANANA FERRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1939
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-1939
Mailing Address - Country:US
Mailing Address - Phone:787-851-3810
Mailing Address - Fax:787-255-3015
Practice Address - Street 1:CENTRO PROFESIONAL BORINQUEN URB BORINQUEN CARR.102
Practice Address - Street 2:OFICINA #5
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-851-3810
Practice Address - Fax:787-255-3015
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine