Gerena, Marielia
Gerena, Marielia is an individual health care provider with primary practice located at 2160 S 1St Ave Dept Of , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Gerena, Marielia can be contacted via phone (708) 216-9041.Contact Information
Primary practice address
2160 S 1St Ave Dept Of
Maywood IL 60153-3328
Phone: (708) 216-9041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036137553 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 259851 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D74579 | Maryland |
Profile Details
| NPI number | 1447419056 |
|---|---|
| LBN Legal business name | Gerena, Marielia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Jan 21st, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447419056 | NPPES |
| Maryland | MEDICAID | 056107000 |
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