Provider Demographics
NPI:1346382413
Name:GARCIA MARRERO, HECTOR A (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:A
Last Name:GARCIA MARRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HECTOR
Other - Middle Name:A
Other - Last Name:GARCIA MARRERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:M1 CAMINO DEL SOL
Mailing Address - Street 2:ARRECIFE 222
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-653-2224
Mailing Address - Fax:787-653-2217
Practice Address - Street 1:HIMA SAN PABLO BAYAMON 1
Practice Address - Street 2:TORRES SAN PABLO SUITE 906
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-653-2224
Practice Address - Fax:787-653-2217
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12422207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12422OtherLICENSE