Individual
ROBERTO MARRERO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HACIENDAS DE MIRAMAR BZ 423, CABO ROJO, PR 00623
(787) 538-9451
Mailing address
HACIENDAS DE MIRAMAR BZ 423, CABO ROJO, PR 00623
(787) 538-9451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021164
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021164
—
PR
Enumeration date
11/16/2018
Last updated
11/16/2018
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