Provider Demographics
NPI:1790829703
Name:MARRERO FIGUEROA, NORMA I (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:I
Last Name:MARRERO FIGUEROA
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:AVE. BOULEVARD EE-10 BOULEVARD MEDICAL CENTER
Mailing Address - Street 2:6TA SECCION JOSE S. ALEGRIA, LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-270-3700
Mailing Address - Fax:
Practice Address - Street 1:EDIF BRISAS DEL MAR OFICINA NUM 2 CARR 693 KM 13.8
Practice Address - Street 2:SECTOR BRENAS
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-270-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9631207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF07645Medicare UPIN