Provider Demographics
NPI:1790925709
Name:MARRERO, SHEILA T (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:T
Last Name:MARRERO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC-02-BOX 16216
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-905-7300
Mailing Address - Fax:787-905-7301
Practice Address - Street 1:CARR. 189 KM 3.1 BO. RINCON
Practice Address - Street 2:SECTOR MANO MANCA
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-905-7300
Practice Address - Fax:787-905-7301
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics