Provider Demographics
NPI:1083908412
Name:MARRERO, DHARMA E
Entity Type:Individual
Prefix:MRS
First Name:DHARMA
Middle Name:E
Last Name:MARRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 ASHFORD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1230
Mailing Address - Country:US
Mailing Address - Phone:787-721-7895
Mailing Address - Fax:787-725-1540
Practice Address - Street 1:1130 ASHFORD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1230
Practice Address - Country:US
Practice Address - Phone:787-721-7895
Practice Address - Fax:787-725-1540
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist