MEDICARE: KATIA MARIA MARRERO NP

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	363L00000X	Nurse Practitioner	11029303	FL

General Provider Information

NPI Number	:	1730926544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIA MARIA MARRERO NP

Provider Business Mailing Address
First Line	:	8523 SW 74TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-3705
Country	:	US
Telephone Number	:	305-318-4843
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 SW 74TH CT STE 1408
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33156-3173
Country	:	US
Telephone Number	:	833-735-3668
Fax Number	:

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

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	07/22/2025

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