Active NPI
Lourdes Elena Marrero I
- Pharmacist
- Bayamon, PR
National Provider Identifier
1245369560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3663
- Practice address
- D32 Calle Marginal
Extencion Forest Hills
Bayamon, PR 00959-5555 - Phone
- (787) 620-9602
- Fax
- (787) 786-0591
- NPI assigned
- Mar 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3663 | PR | Primary |
Addresses
Primary practice location
D32 Calle Marginal
Extencion Forest Hills
Bayamon, PR 00959-5555
Mailing address
147 Vista de la Bahia
Panorama Village
Bayamon, PR 00957-4404
Phone (787) 279-3674
Other names 1
- Prof. Lourdes Elena Marrero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3663 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245369560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 VISTA DE LA BAHIA",
"address_2": "PANORAMA VILLAGE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009574404",
"telephone_number": "787-279-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D32 CALLE MARGINAL",
"address_2": "EXTENCION FOREST HILLS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595555",
"telephone_number": "787-620-9602",
"fax_number": "787-786-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "LOURDES",
"middle_name": "ELENA",
"name_prefix": "Mrs.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOURDES",
"last_name": "MARRERO",
"middle_name": "ELENA",
"prefix": "PROF.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.