Provider Demographics
NPI:1780811331
Name:RIVERA MARRERO, KARINES (MD)
Entity type:Individual
Prefix:
First Name:KARINES
Middle Name:
Last Name:RIVERA MARRERO
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:URB SAN RAFAEL ESTATE
Mailing Address - Street 2:224 C 26 CALLE LIRIO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-4294
Mailing Address - Country:US
Mailing Address - Phone:787-608-8783
Mailing Address - Fax:787-854-1452
Practice Address - Street 1:550 AVE CONCEPCION VERA AYALA
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-877-3331
Practice Address - Fax:787-877-3331
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18110208D00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice