Provider Demographics
NPI:1083874283
Name:MARROIG, GEORGINA M (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGINA
Middle Name:M
Last Name:MARROIG
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 1:11-21 CALLE SALAMANCA
Mailing Address - Street 2:URB. TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3127
Mailing Address - Country:US
Mailing Address - Phone:787-448-5690
Mailing Address - Fax:787-764-3924
Practice Address - Street 1:11-21 CALLE SALAMANCA
Practice Address - Street 2:URB. TORRIMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3127
Practice Address - Country:US
Practice Address - Phone:787-448-5690
Practice Address - Fax:787-764-3924
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19562080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR02246-7OtherDM #
PR1956OtherLICENSE
PR1956OtherLICENSE