Provider Demographics
NPI:1396356549
Name:MARRERO LEON, WILLIAM NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NOEL
Last Name:MARRERO LEON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:CALLE HERNANDES CARRION CARR #2
Mailing Address - Street 2:INTERCEPCION 668 URB ATENAS
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1142
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-621-3266
Practice Address - Street 1:CALLE HERNANDES CARRION CARR #2
Practice Address - Street 2:INTERCEPCION 668 URB ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-1142
Practice Address - Country:US
Practice Address - Phone:787-621-3700
Practice Address - Fax:787-621-3266
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2021-12-03
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Provider Licenses
StateLicense IDTaxonomies
PR15441208D00000X
PR22410208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice