Provider Demographics
NPI:1366862583
Name:CAVALCANTI, MARCELA SANTOS (MD)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:SANTOS
Last Name:CAVALCANTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RUA PADRE JOSE KENTENICH, 665
Mailing Address - Street 2:CASA 6
Mailing Address - City:CURITIBA
Mailing Address - State:BRAZIL
Mailing Address - Zip Code:81210342
Mailing Address - Country:BR
Mailing Address - Phone:55418-837-7874
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA VICENTE MACHADO 1192
Practice Address - Street 2:
Practice Address - City:CURITIBA
Practice Address - State:BRAZIL
Practice Address - Zip Code:80420011
Practice Address - Country:BR
Practice Address - Phone:55413-222-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-27
Last Update Date:2014-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP92597207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology