Provider Demographics
NPI:1922093368
Name:MARRERO-GUADALUPE, JULIO ARMANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO ARMANDO
Middle Name:
Last Name:MARRERO-GUADALUPE
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:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0032
Mailing Address - Country:US
Mailing Address - Phone:787-502-3492
Mailing Address - Fax:787-739-8190
Practice Address - Street 1:AVE. EL JIBARO
Practice Address - Street 2:CARR. 172 KM. 13.5 BO. BAYAMON
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-1330
Practice Address - Country:US
Practice Address - Phone:787-739-8182
Practice Address - Fax:787-739-8190
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12356OtherSTATE LICENCE
PRDM12065OtherSTATE NARCOTICS
PRDM12065OtherSTATE NARCOTICS