MEDICARE: MARIA S 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
1	183500000X	Pharmacist	002299	PR

General Provider Information

NPI Number	:	1841337276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA S MARRERO

Provider Business Mailing Address
First Line	:	395 CALLE PRINCIPAL
Second Line	:	URB. DORADO BEACH EAST
City	:	DORADO
State	:	PR
Zip	:	00646-2046
Country	:	US
Telephone Number	:	787-614-4606
Fax Number	:	787-870-0169

Provider Business Practice Location Address
First Line	:	395 CALLE PRINCIPAL
Second Line	:	URB. DORADO BEACH EAST
City	:	DORADO
State	:	PR
Zip	:	00646-2046
Country	:	US
Telephone Number	:	787-614-4606
Fax Number	:	787-870-0169

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/08/2007

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Directions to “ MARIA S MARRERO ” Practice Location

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