Provider Demographics
NPI:1740294008
Name:ARECES PERNAS, MANUEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:J
Last Name:ARECES PERNAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MANUEL
Other - Middle Name:J
Other - Last Name:ARECES PERNAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 70344
Mailing Address - Street 2:PMB 354
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8344
Mailing Address - Country:US
Mailing Address - Phone:787-754-8500
Mailing Address - Fax:787-763-2772
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PR Y DEL CARIBE
Practice Address - Street 2:SUITE NUM 9
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-8344
Practice Address - Country:US
Practice Address - Phone:787-754-8500
Practice Address - Fax:787-763-2772
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12013174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist