Individual
AMANDA PAOLA MARRERO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1462 PROFESOR AUGUSTO RODRIGUEZ ST., SAN JUAN, PR 00909
(787) 625-1446
Mailing address
PO BOX 19120, SAN JUAN, PR 00910-1120
(787) 625-1446
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22257
PR
2085R0202X
Diagnostic Radiology Physician
D90509
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012072154
—
DC
05
—
225294500
—
MD
Enumeration date
09/07/2014
Last updated
10/26/2022
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