Healthcare Provider Details

I. General information

NPI: 1316882764
Provider Name (Legal Business Name): MARRERO-SANTIAGO GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CALLE PRINCIPAL
MOROVIS PR
00687-3322
US

IV. Provider business mailing address

PO BOX 109
MOROVIS PR
00687-0109
US

V. Phone/Fax

Practice location:
  • Phone: 787-862-4615
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. LOREINY MARRERO COLON
Title or Position: PRESIDENTE
Credential:
Phone: 939-254-7909