Provider Demographics
NPI:1285714220
Name:CARCANA, MARTA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:
Last Name:CARCANA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 71 BOX 7723
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-9585
Mailing Address - Country:US
Mailing Address - Phone:787-747-4921
Mailing Address - Fax:787-289-1515
Practice Address - Street 1:STOP 3 1/2 GENERAL ESTEVES ST
Practice Address - Street 2:PUERTA DE TIERRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00902-0000
Practice Address - Country:US
Practice Address - Phone:787-289-1656
Practice Address - Fax:787-289-1515
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14820163W00000X, 163WE0003X, 163WM0705X, 163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WE0003XNursing Service ProvidersRegistered NurseEmergency
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Not Answered163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery