Deisy Violeta Marroquin
Individual provider Active NPI Homemaker · Trumbull, CT
NPI 1750110607 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1750110607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- HCA0002075 (CT)
- Practice address
- 5 Palisade Ave
Trumbull, CT 06611-3017 - Phone
- (203) 434-2188
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA0002075 | CT | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | HCA0002075 | CT | Yes |
Addresses
Primary practice location
5 Palisade Ave
Trumbull, CT 06611-3017
Mailing address
5 Palisade Ave
Trumbull, CT 06611-3017
Phone (203) 434-2188
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.