Provider Demographics
NPI:1427180215
Name:MARKAN MEDICINE CSP
Entity Type:Organization
Organization Name:MARKAN MEDICINE CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARCANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-3151
Mailing Address - Street 1:115 CALLE ARIOSTO CRUZ
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4745
Mailing Address - Country:US
Mailing Address - Phone:787-878-3151
Mailing Address - Fax:787-878-7274
Practice Address - Street 1:115 CALLE ARIOSTO CRUZ
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4745
Practice Address - Country:US
Practice Address - Phone:787-878-3151
Practice Address - Fax:787-878-7274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health