Provider Demographics
NPI:1831318328
Name:MARRERO, ANA S (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:S
Last Name:MARRERO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 CALLE JUAN BAIZ
Mailing Address - Street 2:APT. C-322
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4431
Mailing Address - Country:US
Mailing Address - Phone:787-276-2168
Mailing Address - Fax:
Practice Address - Street 1:1280 CALLE JUAN BAIZ
Practice Address - Street 2:APT. C-322
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-4431
Practice Address - Country:US
Practice Address - Phone:787-276-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist