Individual
LUIS B MARRERO
Active
Individual
LUIS B MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD035910E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010502400004
—
PA
01
—
1011278940001
MEDICAL ASST
—
01
—
1624770
HIGHMARK GROUP KEYSTONE
—
01
—
197611
BLUESHIELD
—
01
—
20118561300
BUREAU OF WIC GROUP
OH
01
—
352438
HEALTH AMERICA
—
01
—
MD035910E
PA LICENSE
—
Enumeration date
06/07/2006
Last updated
09/10/2007
Update your record
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