Provider Demographics
NPI:1700616588
Name:FERRER MACIAS, ROBERT ANDREW
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANDREW
Last Name:FERRER MACIAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. SAN DEMETRIO
Mailing Address - Street 2:CALLE CORCOVADO #820
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-648-1928
Mailing Address - Fax:
Practice Address - Street 1:URB. SAN DEMETRIO
Practice Address - Street 2:CALLE CORCOVADO #820
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-648-1928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program