Provider Demographics
NPI:1013673722
Name:MARRERO, SELENA TORRES I (ENFERMERA)
Entity Type:Individual
Prefix:MISS
First Name:SELENA
Middle Name:TORRES
Last Name:MARRERO
Suffix:I
Gender:F
Credentials:ENFERMERA
Other - Prefix:MISS
Other - First Name:SELENA
Other - Middle Name:TORRES
Other - Last Name:MARRERO
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:ENFERMERA
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-0540
Mailing Address - Country:US
Mailing Address - Phone:787-410-6076
Mailing Address - Fax:787-803-9093
Practice Address - Street 1:CARR 3 KM 152.1
Practice Address - Street 2:BARRIADA LOPEZ BARRIO AGUIRRE
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-410-6076
Practice Address - Fax:787-803-9093
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR96460-G163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR96460-GOtherLICENCIA DE ENFERMERIA