Provider Demographics
NPI:1487780375
Name:MARRERO, ERNESTO RAFAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ERNESTO
Middle Name:RAFAEL
Last Name:MARRERO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:CALLE SANTA CRUZ 66
Mailing Address - Street 2:INSTITUTO SAN PABLO SUITE 507
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-740-2010
Mailing Address - Fax:787-740-8377
Practice Address - Street 1:CALLE SANTA CRUZ 66
Practice Address - Street 2:INSTITUTO SAN PABLO SUITE 507
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-740-2010
Practice Address - Fax:787-740-8377
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR60212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry