Dra Edith M Marrero CSP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DRA EDITH M MARRERO CSP

Practice address

Ag1 Ave Lomas Verdes
Santa Juanita
Bayamon, PR 00956-4740

Phone

(787) 787-6090

Fax

(787) 740-3816

NPI assigned

Nov 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edith M Marrero, MD

Title

President

Phone

(787) 787-6090

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1053302802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CALLE VIOLETA",
            "address_2": "CIUCAD SARDIN III",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534866",
            "fax_number": "787-740-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AG1 AVE LOMAS VERDES",
            "address_2": "SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564740",
            "telephone_number": "787-787-6090",
            "fax_number": "787-740-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA EDITH M MARRERO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-787-6090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.