Provider Demographics
NPI:1083721740
Name:MARRERO BURGOS, FRANCIS E (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:E
Last Name:MARRERO BURGOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1235
Mailing Address - Street 2:BO. GATO
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1235
Mailing Address - Country:US
Mailing Address - Phone:787-598-6310
Mailing Address - Fax:787-867-2985
Practice Address - Street 1:CARR. 155 KM 32.2
Practice Address - Street 2:BO. GATO
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-1235
Practice Address - Country:US
Practice Address - Phone:787-598-6310
Practice Address - Fax:787-867-2985
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15858208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI- 29193Medicare UPIN
PR002-3079Medicare ID - Type Unspecified