LUIS B MARRERO MD NPI 1518907880

NPI Information

NPI: 1518907880
Provider Name: LUIS B MARRERO, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
23 KENNEDY ST
SUITE 302
BRADFORD, PA
ZIP 16701
Phone: (814) 362-9804
Get Directions

Luis B Marrero, MD is a gastroenterology internal medicine in Bradford, PA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Luis B Marrero, MD NPI is 1518907880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 KENNEDY ST
SUITE 302
BRADFORD, PA
ZIP 16701-005
Phone: (814) 362-9804
Fax: (814) 362-6571

The enumeration date for this NPI number is 6/7/2006 and was last updated on 9/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	MD035910E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	352438	OTHER		HEALTH AMERICA
2	20118561300	OTHER	OHIO	BUREAU OF WIC GROUP
3	107611	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
4	MD035910E	OTHER		PA LICENSE
5	083803	MEDICARE ID-TYPE UNSPECIFIED		GROUP
6	0010502400004	MEDICAID	PENNSYLVANIA
7	1624770	OTHER		HIGHMARK GROUP KEYSTONE
8	1011278940001	OTHER		MEDICAL ASST
9	197611	OTHER		BLUESHIELD
10	DC0269	MEDICARE ID-TYPE UNSPECIFIED		RR GROUP
11	E35942	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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