Provider Demographics
NPI:1346616513
Name:MARCANO, DENISSE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:DENISSE
Middle Name:
Last Name:MARCANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 2400
Mailing Address - Street 2:PMB 226
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00000-0951
Mailing Address - Country:US
Mailing Address - Phone:787-513-6072
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 0.7
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-0095
Practice Address - Country:US
Practice Address - Phone:787-786-6306
Practice Address - Fax:787-966-7652
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6229183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist