Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 15629 | PR |
N | 207X00000X | Orthopaedic Surgeon | A105416 | CA |
N | 207X00000X | Orthopaedic Surgeon | ME106368 | FL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 15629 | PR |
N | 207XS0117X | Orthopaedic Spine Surgeon | A105416 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME106368 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 15629 | PR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A105416 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME106368 | FL |
NPI | 1376747386 |
---|---|
Provider Name | Luis G Marrero Perez |
First Address | San Juan, PR 00908-6273 |
Second Address | San Juan, PR 00907-1521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 11/05/2020 |