| Doctor Name: | MISS MIRIAM MARRERO ALICEA |
| NPI Number: | 1578762852 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 12170 |
| Business Practice Address: | Ponce De Leon #52 Urb Garcia Arecibo, PR - 00612 |
| Business Phone Number: | 7878798867 |
| Business Fax Number: | 7878798867 |
| Mailing Address: | Cotto Station, Apartado 9621 ARECIBO |
| State: | PR |
| Postal Code: | 00613 |
| Phone Number: | 7878783209 |
| Fax Number: | 7878798867 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |