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Individual

SANDRA ENID MARRERO ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1995 CARR 2 STE 2401, BAYAMON, PR 00959-5056
(787) 753-3412
(787) 753-3413
Mailing address
RIO HONDO 2, AK-12 RIO JAJOME, BAYAMON, PR 00961
(787) 360-2973

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12523
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME126510
FLORIDA MEDICAL LICENCE
FL
Enumeration date
03/27/2007
Last updated
11/17/2020
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