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Contact Information

IVAN F MARRERO, DMD
611 CALLE PAVIA
PAVIA MEDICAL PLAZA SUITE 208
SANTURCE, PR00909-2239
 Phone: 787-268-3200
 Fax: 787-268-4045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IVAN F MARRERO · (Male)

NPI Number 1881678340
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/30/2005
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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