Basic Information
| Provider Information | |||||||||
| NPI: | 1114973476 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARRERO - RIVERA | ||||||||
| FirstName: | MIGUEL | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPT. ANESTESIOLOGIA | ||||||||
| Address2: | PO BOX 365067 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009264330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877580640 | ||||||||
| FaxNumber: | 7877581327 | ||||||||
| Practice Location | |||||||||
| Address1: | ANESTHESIOLOGY DEPARTMENT SUITE 983 | ||||||||
| Address2: | MEDICAL SCIENCES CAMPUS UPR | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877580640 | ||||||||
| FaxNumber: | 7877581327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 02/14/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 11489 | PR | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP3000X | 11489 | PR | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pediatric Anesthesiology |
No ID Information.