Individual
LOREINY MARIEL MARRERO COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CENTRO GRAN CARIBE SUITE 208, CARR #2 KM 29.7, VEGA ALTA, PR 00692
(787) 883-6560
Mailing address
474 CALLE DE DIEGO APT 1, SAN JUAN, PR 00923-3134
(939) 254-7909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3433
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6501442
DRIVER LICENSE
PR
Enumeration date
02/13/2022
Last updated
09/06/2023
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