Provider Demographics
NPI:1598015265
Name:PASCUAL-MARRERO, JEAMARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAMARIE
Middle Name:
Last Name:PASCUAL-MARRERO
Suffix:
Gender:F
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: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:787-509-5559
Mailing Address - Fax:888-373-4666
Practice Address - Street 1:29 CALLE WASHINGTON
Practice Address - Street 2:ASHFORD MEDICAL TOWER SUITE 805
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-0001
Practice Address - Country:US
Practice Address - Phone:787-509-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR019538207Y00000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR019538OtherOTOLARYNGOLOGY-HEAD AND NECK SURGERY