Provider Demographics
NPI:1629046172
Name:MARRERO LUNA, HECTOR R (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:R
Last Name:MARRERO LUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13 CALLE WILLIE ROSARIO
Mailing Address - Street 2:SUITE 2
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-3252
Mailing Address - Country:US
Mailing Address - Phone:787-825-3388
Mailing Address - Fax:787-848-0318
Practice Address - Street 1:13 CALLE WILLIE ROSARIO
Practice Address - Street 2:SUITE 2
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3252
Practice Address - Country:US
Practice Address - Phone:787-825-3388
Practice Address - Fax:787-848-0318
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2012-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR8924207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080596Medicare ID - Type Unspecified