Provider Demographics
NPI:1982965240
Name:MARRERO-ROLON, JESSICA C (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:C
Last Name:MARRERO-ROLON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:MANATI MEDICAL CENTER, DEPARTAMENTO MEDICINA DE FAMILIA
Mailing Address - Street 2:P.O. BOX 1142
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1142
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-855-4014
Practice Address - Street 1:B 23 CALLE 3 URBANIZACION FLAMBOYAN
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-855-4011
Practice Address - Fax:787-855-4014
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18189207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine