MEDICARE: LUIS A MARRERO-TORRES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	3987	PR

General Provider Information

NPI Number	:	1184606998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS A MARRERO-TORRES MD

Provider Business Mailing Address
First Line	:	68 CALLE SANTA CRUZ
Second Line	:	TORRE SAN PABLO STE 703
City	:	BAYAMON
State	:	PR
Zip	:	00961-7031
Country	:	US
Telephone Number	:	787-785-4085
Fax Number	:	787-798-4430

Provider Business Practice Location Address
First Line	:	68 CALLE SANTA CRUZ
Second Line	:	TORRE SAN PABLO STE 703
City	:	BAYAMON
State	:	PR
Zip	:	00961-7031
Country	:	US
Telephone Number	:	787-785-4085
Fax Number	:	787-798-4430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	09/13/2010

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