# MEDIC HOME INFUSIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104252212
- **Authorized official:** LUIS ALEXIS ROMAN MARRERO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 296-0617

## Contact information

- **Practice address:** 1056 CALLE FERROCARRIL, RIO PIEDRAS, PR 00925-3028
- **Practice address phone:** (787) 449-7933
- **Mailing address:** 574 CALLE CABO H ALVERIO, URB LA MERCED, SAN JUAN, PR 00918-3724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 09/20/2013
- **Last updated:** 09/20/2013