Provider Demographics
NPI:1750340253
Name:RECURT, MARIA L (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:L
Last Name:RECURT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-1 PASEO ALHAMBRA
Mailing Address - Street 2:URB TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3148
Mailing Address - Country:US
Mailing Address - Phone:787-782-7891
Mailing Address - Fax:
Practice Address - Street 1:310 AVE DE DIEGO
Practice Address - Street 2:STE 302
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1712
Practice Address - Country:US
Practice Address - Phone:787-723-5585
Practice Address - Fax:787-722-3660
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6469207RR0500X
CAG54568207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D08787Medicare UPIN
PR98642Medicare ID - Type Unspecified