Doctor Name: | DR. EDGARDO MARRERO PEREZ |
NPI Number: | 1821102708 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14367 |
Business Practice Address: | Avenida Munoz Rivera # 63 Camuy, PR - 00627 |
Business Phone Number: | 7878974713 |
Business Fax Number: | 7872621210 |
Mailing Address: | Po Box 609, LARES |
State: | PR |
Postal Code: | 006690609 |
Phone Number: | 7878974713 |
Fax Number: | 7872621210 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |