Provider Demographics
NPI:1285628487
Name:MARRERO, CARLA C (RPH)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:C
Last Name:MARRERO
Suffix:
Gender:F
Credentials:RPH
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 273
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0273
Mailing Address - Country:US
Mailing Address - Phone:787-225-3494
Mailing Address - Fax:
Practice Address - Street 1:F5 CALLE 2
Practice Address - Street 2:OCEAN VIEW
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3512
Practice Address - Country:US
Practice Address - Phone:787-225-3494
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4943183500000X
FLPS35520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist