Healthcare Provider Details

I. General information

NPI: 1346382413
Provider Name (Legal Business Name): HECTOR A GARCIA MARRERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HECTOR A GARCIA MARRERO MD

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HIMA SAN PABLO BAYAMON 1 TORRES SAN PABLO SUITE 906
BAYAMON PR
00959
US

IV. Provider business mailing address

M1 CAMINO DEL SOL ARRECIFE 222
VEGA BAJA PR
00693
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-2224
  • Fax: 787-653-2217
Mailing address:
  • Phone: 787-653-2224
  • Fax: 787-653-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number12422
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: