Provider Demographics
NPI:1467426874
Name:MARRERO ARROYO, CARLOS (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:
Last Name:MARRERO ARROYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 AVE WINSTON CHURCHILL
Mailing Address - Street 2:PMB #315
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-758-1910
Mailing Address - Fax:787-751-4812
Practice Address - Street 1:1729 CALLE SEGRE
Practice Address - Street 2:URB.RIO PIEDRAS HEIGHT'S
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3246
Practice Address - Country:US
Practice Address - Phone:787-758-1910
Practice Address - Fax:787-751-4812
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6403207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD08278Medicare UPIN