Provider Demographics
NPI:1689883738
Name:MARCEUS CLERCIN, PIERRE ANTOINE (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:ANTOINE
Last Name:MARCEUS CLERCIN
Suffix:
Gender:M
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:URB. SIERRA BAYYAMON
Mailing Address - Street 2:63-31 CALLE 52
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-902-7641
Mailing Address - Fax:
Practice Address - Street 1:URB. SIERRA BAYYAMON
Practice Address - Street 2:63-31 CALLE 52
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-902-7641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16018208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice