Individual
STEPHANIE ANN JOHNSON MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CALLE HERNANDEZ CARRION, MANATI, PR 00956
(787) 621-3700
Mailing address
532 MONOCACY TRL, SPRING GROVE, PA 17362-1512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
FJ1836521
PA
207Q00000X
Family Medicine Physician
Primary
MD478904
PA
208D00000X
General Practice Physician
22280
PR
390200000X
Student in an Organized Health Care Education/Training Program
34207-R
PR
Other
Enumeration date
06/17/2019
Last updated
02/27/2026
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