Provider Demographics
NPI:1922997683
Name:MARCANO TERRON, EDGAR JAVIER
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:JAVIER
Last Name:MARCANO TERRON
Suffix:
Gender:M
Credentials:
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 1068
Mailing Address - Street 2:
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-1068
Mailing Address - Country:US
Mailing Address - Phone:787-300-0149
Mailing Address - Fax:
Practice Address - Street 1:2 NE 117TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33161-6640
Practice Address - Country:US
Practice Address - Phone:787-300-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter