Individual
CARLOS C MARRERO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CESAR GONZALEZ #463 URB ROOSEVELT, SAN JUAN, PR 00918
(787) 274-0277
(787) 765-2823
Mailing address
PO BOX 366268, SAN JUAN, PR 00936-6268
(787) 274-0277
(787) 765-2823
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
8381
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066733
CRUZ AZUL
—
01
—
1808
PALIC-PE
—
01
—
27803MA
TS
—
01
—
28381
MCS
—
01
—
58376947
CIGNA
—
01
—
9180014
HUMANA
—
Enumeration date
12/11/2006
Last updated
07/08/2007
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