Individual provider Active NPI

Peter Jr Marrero, RDH

  • Dental Hygienist
  • Orlando, FL
National Provider Identifier
1720849508
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
31939 Issued in FL
Practice address
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone
(407) 428-5751
NPI assigned
Jan 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 31939 FL Primary

Addresses

Primary practice location

232 N Orange Blossom TRL
Orlando, FL 32805-1612

Mailing address

10030 Quail Meadow Aly
Winter Garden, FL 34787-4469
Phone (407) 885-4435

Other practice location 1

3100 Evans Trojans Way
Orlando, FL 32808-3662
Phone (407) 428-5751

Other practice location 2

701 W Livingston St Bldg 800
Orlando, FL 32805-1535
Phone (407) 428-5751

Other practice location 3

4426 Old Winter Garden Rd
Orlando, FL 32811-4211
Phone (407) 428-5751

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

LicenseStateTypeSpecialty
31939FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1720849508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 QUAIL MEADOW ALY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874469",
            "telephone_number": "407-885-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051612",
            "telephone_number": "407-428-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Evans Trojans Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328083662",
            "country_code": "US",
            "telephone_number": "407-428-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Livingston St Bldg 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328051535",
            "country_code": "US",
            "telephone_number": "407-428-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4426 Old Winter Garden Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328114211",
            "country_code": "US",
            "telephone_number": "407-428-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "PETER",
        "middle_name": "JR",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.