MEDICARE: GLORIA E 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	3303	PR

General Provider Information

NPI Number	:	1861257099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA E MARRERO

Provider Business Mailing Address
First Line	:	CONDOMINIO PLAYA DORADA TORRE B G-05
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979
Country	:	US
Telephone Number	:	787-310-5397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PASEO DE LOS GIGANTES STE 5
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00985-5444
Country	:	US
Telephone Number	:	787-752-6246
Fax Number	:

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

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	02/16/2024

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Directions to “ GLORIA E MARRERO ” Practice Location

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