Provider Demographics
NPI:1518023027
Name:MARRERO, VIONNETTE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VIONNETTE
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:RPH
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 250129
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0129
Mailing Address - Country:US
Mailing Address - Phone:787-882-1944
Mailing Address - Fax:787-882-1944
Practice Address - Street 1:URB. SAN CARLOS, A-3
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-891-1830
Practice Address - Fax:787-891-1830
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist