Provider Demographics
NPI:1720755614
Name:MARRERO PAGAN, ORLANDO JAVIER (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:JAVIER
Last Name:MARRERO PAGAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8650 SW 132ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6507
Mailing Address - Country:US
Mailing Address - Phone:305-971-4703
Mailing Address - Fax:
Practice Address - Street 1:8650 SW 132ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-6507
Practice Address - Country:US
Practice Address - Phone:305-971-4703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist