MAURO JOSE TAVERAS ALCANTARA

PINE BLUFF, AR
NPI1558898064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: AR  E-17813)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036.152621)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-15
Last Update Date2024-06-18
Business Address
MAURO JOSE TAVERAS ALCANTARA M.D.
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603-6365
Phone number: 870-541-4285
Mailing Address
MAURO JOSE TAVERAS ALCANTARA M.D.
PO BOX 2650
PINE BLUFF, AR 71613-2650
Phone number: 870-541-7211