MEDICARE: DR. ARLETTE MARIE MARRERO-ABREU OD

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	152W00000X	Optometrist	OPT-002446	AZ

General Provider Information

NPI Number	:	1861010787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARLETTE MARIE MARRERO-ABREU OD

Provider Business Mailing Address
First Line	:	127 E DUVAL RD
Second Line	:
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85614-4103
Country	:	US
Telephone Number	:	787-299-4760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1785 W VALENCIA RD UNIT 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-6511
Country	:	US
Telephone Number	:	520-807-5721
Fax Number	:

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

Provider Enumeration Date	:	07/07/2020
Last Update Date	:	07/07/2020

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