Individual
MICHAEL E MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(281) 766-0959
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
73844
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME131980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109754Y0NH02
ANTHEM
NH
05
—
292780099
—
ME
01
—
300134039
RAILROAD MEDICARE
—
05
—
30203233
—
NH
05
—
3078337
—
MA
01
—
3405042
CIGNA
—
01
—
4276160
AETNA
—
Enumeration date
06/02/2006
Last updated
01/09/2025
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