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NPI Code Detail

MEDICARE: PAOLA MICHELL MARRERO

MEDICARE: PAOLA MICHELL MARRERO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPR

General Provider Information

NPI Number : 1770428591
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA MICHELL MARRERO
Provider Business Mailing Address
First Line : 6115 WILLOW BECK LN APT 104
Second Line :
City : BRADENTON
State : FL
Zip : 34202-4093
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1802 NAVARRA STREET
Second Line :
City : PONCE
State : PR
Zip : 00716-2001
Country : US
Telephone Number : 787-641-7582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ PAOLA MICHELL MARRERO ” Practice Location

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