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Individual

MISS MIRIAM MARRERO ALICEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
PONCE DE LEON #52, URB GARCIA, ARECIBO, PR 00612
(787) 879-8867
(787) 879-8867
Mailing address
COTTO STATION, APARTADO 9621, ARECIBO, PR 00613
(787) 878-3209
(787) 879-8867

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12170
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88662
PR
Enumeration date
07/16/2007
Last updated
07/18/2013
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