Provider Demographics
NPI:1386270577
Name:MARCANO, LUZ MARIA
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:MARIA
Last Name:MARCANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA PINARES
Mailing Address - Street 2:324 PASEO CIPRESS
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-5932
Mailing Address - Country:US
Mailing Address - Phone:787-228-5011
Mailing Address - Fax:
Practice Address - Street 1:VILLA PINARES
Practice Address - Street 2:324 PASEO CIPRESS
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5932
Practice Address - Country:US
Practice Address - Phone:787-228-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider