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NPI Code Detail

MEDICARE: MARCOS BORRERO M.D.

MEDICARE:   MARCOS  BORRERO  M.D.
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
1208D00000XGeneral Practice PhysicianA389071CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952312621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS BORRERO M.D.
Provider Business Mailing Address
First Line : 3490 PALM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1664
Country : US
Telephone Number : 619-421-5279
Fax Number :
Provider Business Practice Location Address
First Line : 3490 PALM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1664
Country : US
Telephone Number : 619-423-5616
Fax Number : 619-423-5684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 04/16/2009

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Directions to “ MARCOS BORRERO M.D.” Practice Location

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