Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 0116031473 | VA |
NPI | 1154736718 |
---|---|
Provider Name | Ms. Sarah Marrero Medina |
First Address | Toa Alta, PR 00954-1187 |
Second Address | Bayamon, PR 00960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 16/07/2020 |