Provider Demographics
NPI:1013166586
Name:COUTO, MARIAN (MD)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:COUTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7772
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7772
Mailing Address - Country:US
Mailing Address - Phone:787-492-2000
Mailing Address - Fax:787-813-0517
Practice Address - Street 1:2225 PONCE BY PASS
Practice Address - Street 2:EDIF PARRA STE 603
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-492-2000
Practice Address - Fax:787-813-0517
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18268207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease