Chacon, Mary T

Chacon, Mary T is an individual health care provider with primary practice located at Urb. Flamboyan, Marginal Sur B-11 , Manati PR 00674. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Chacon, Mary T can be contacted via phone (787) 231-1008.

Contact Information

Primary practice address
Urb. Flamboyan, Marginal Sur B-11 Manati PR 00674
Phone: (787) 231-1008
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15730 Puerto Rico

Profile Details

NPI number 1982652111
LBN Legal business name Chacon, Mary T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982652111 NPPES
Puerto Rico MEDICAID I36878

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