Provider Demographics
NPI:1598822512
Name:MARRERO RODRIGUEZ, ARNALDO L (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:L
Last Name:MARRERO RODRIGUEZ
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:CALLE MAYAGUEZ 137
Mailing Address - Street 2:APARTADO 416
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-619-8460
Mailing Address - Fax:
Practice Address - Street 1:TORRE SAN FRANCISCO
Practice Address - Street 2:SUITE 402 CALLE DE DIEGO 369
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-619-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023264Medicare ID - Type Unspecified