Provider Demographics
NPI:1811959158
Name:WALKER, MARCIAL A (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIAL
Middle Name:A
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 6539
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6539
Mailing Address - Country:US
Mailing Address - Phone:787-704-4141
Mailing Address - Fax:787-704-4144
Practice Address - Street 1:CONSOLIDATED MALL , GAUTIER BENITEZ AVE.
Practice Address - Street 2:SUITE C20-A
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-704-4141
Practice Address - Fax:787-704-4144
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2015-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12551208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology