Provider Demographics
NPI:1134370091
Name:MARRERO VIERA, NANCY (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:MARRERO VIERA
Suffix:
Gender:F
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 141763
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1763
Mailing Address - Country:US
Mailing Address - Phone:787-969-8082
Mailing Address - Fax:
Practice Address - Street 1:CARR 490 KM 3.7 SOLAR #61
Practice Address - Street 2:BO CAMPO ALEGRE, PAJUIL
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-820-8082
Practice Address - Fax:787-262-6611
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17325208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice