Individual
DR. JUAN CARLOS MARRERO GRATACOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1326 STE 107, EL SENORIAL PLZ, PONCE, PR 00717-1686
(787) 812-1010
(787) 675-4596
Mailing address
CALLE 1326 STE 107, EL SENORIAL PLAZA, PONCE, PR 00717
(787) 812-1010
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
M662-423-73-146-0
FL
1223G0001X
General Practice Dentistry
Primary
D2464
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831224294
—
PR
Enumeration date
02/23/2007
Last updated
07/21/2022
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