Provider Demographics
NPI:1407980311
Name:MARRERO-VERA, MORAIMA (MS)
Entity Type:Individual
Prefix:
First Name:MORAIMA
Middle Name:
Last Name:MARRERO-VERA
Suffix:
Gender:F
Credentials:MS
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 143326
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3326
Mailing Address - Country:US
Mailing Address - Phone:787-315-8261
Mailing Address - Fax:
Practice Address - Street 1:540 AVE MIRAMAR
Practice Address - Street 2:SUITE 3
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4364
Practice Address - Country:US
Practice Address - Phone:787-880-5031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR564231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist