Active NPIIndividual providerSole proprietor

Dr. Marvin Olivo Justiniano, PA

Physician Assistant, Medical in Cabo Rojo, Puerto Rico

NPI Number1245936582
Practice location
Urb. Borinquen, Ee20, Jose Campeche St., Cabo Rojo, PR 00623
Fax
—
Last updated
February 7, 2023

Marvin Olivo Justiniano is a Physician Assistant, Medical based in Cabo Rojo, PR. Marvin Olivo Justiniano practices in Cabo Rojo, PR and has the professional credentials of PA. The NPI Number for Marvin Olivo Justiniano is 1245936582 and holds a License No. 1063 (PR). The current practice location address for Marvin Olivo Justiniano is Urb. Borinquen, Ee20, Jose Campeche St., Cabo Rojo, PR 00623 and can be reached out via phone at 787-233-2550.

Provider Profile Details

NPI Number
1245936582
Provider Name
Marvin Olivo Justiniano
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
Urb. Borinquen, Ee20, Jose Campeche St., Cabo Rojo, PR 00623
Phone Number
787-233-2550
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2023
Last Update Date
February 7, 2023
Certification Date
January 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. Borinquen, Ee20, Jose Campeche St.
Cabo Rojo, PR 00623
Zip
00623
Phone Number
787-233-2550
Cabo Rojo, PR 00623Get directions →

Provider Business Mailing Address Details

Address
Po Box 774
Mayaguez, PR 00681-0774
City
Mayaguez
State
PR
Zip
00681-0774
Phone Number
787-233-2550

License Information

License Number
1063
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marvin Olivo Justiniano, PA?

The NPI number of Dr. Marvin Olivo Justiniano, PA is 1245936582. It was assigned on February 7, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Marvin Olivo Justiniano, PA?

Dr. Marvin Olivo Justiniano, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 1063.

Where does Dr. Marvin Olivo Justiniano, PA practice?

The practice location is Urb. Borinquen, Ee20, Jose Campeche St., Cabo Rojo, PR 00623. The office can be reached at 787-233-2550 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245936582 directly on the NPPES registry website.

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