Basic Information
| Provider Information | |||||||||
| NPI: | 1407237886 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FARINACCI VILARO | ||||||||
| FirstName: | MARLENE | ||||||||
| MiddleName: | AMANDA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 839 CALLE ANASCO | ||||||||
| Address2: | EDIFICIO PLAZA UNIVERSIDAD 2000 APT 1010 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872448533 | ||||||||
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| Practice Location | |||||||||
| Address1: | PUERTO RICO MEDICAL CENTER | ||||||||
| Address2: | BO MONACILLOS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874802700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2015 | ||||||||
| LastUpdateDate: | 07/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 19998 | PR | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 19998 | PR | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207R00000X | 19998 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.