Provider Demographics
NPI:1437594819
Name:PASCUAL MARRERO, ANNETTE MARIE (MD, MPH)
Entity Type:Individual
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First Name:ANNETTE
Middle Name:MARIE
Last Name:PASCUAL MARRERO
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:PO BOX 23318
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00931-3318
Mailing Address - Country:US
Mailing Address - Phone:787-721-6380
Mailing Address - Fax:
Practice Address - Street 1:ASHFORD MEDICAL CENTER SUITE 805
Practice Address - Street 2:29 CALLE WASHINGTON, AVENIDA 1451
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-721-6380
Practice Address - Fax:787-721-6386
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2020-06-03
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Provider Licenses
StateLicense IDTaxonomies
PR21446208600000X
PR33200208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery