Provider Demographics
NPI:1881917185
Name:MACCONE FIRPI, MARJORIE IRIS (MD)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:IRIS
Last Name:MACCONE FIRPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1299 CARR 844
Mailing Address - Street 2:COND. SAN JUAN TOWERS APT. 701
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7835
Mailing Address - Country:US
Mailing Address - Phone:787-232-6616
Mailing Address - Fax:
Practice Address - Street 1:1299 CARR 844
Practice Address - Street 2:COND. SAN JUAN TOWERS APT. 701
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7835
Practice Address - Country:US
Practice Address - Phone:787-232-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR178192084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry