Provider Demographics
NPI:1083793673
Name:PUIG, LAURA MARRERO (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARRERO
Last Name:PUIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:RR 4 BOX 16460
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9595
Mailing Address - Country:US
Mailing Address - Phone:787-519-1555
Mailing Address - Fax:787-826-2871
Practice Address - Street 1:BO. CARACOLES CARRT. 402 KM 4.2
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-7626
Practice Address - Fax:787-826-7626
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI14718208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics