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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982652111 | NPPES |
| Puerto Rico | MEDICAID | I36878 |
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