Marrero Velis, Eduardo Antonio
Marrero Velis, Eduardo Antonio is an individual health care provider with primary practice located at 815 E 15Th St , Douglas AZ 85607-1631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Marrero Velis, Eduardo Antonio can be contacted via phone (520) 364-5437.Contact Information
Primary practice address
815 E 15Th St
Douglas AZ 85607-1631
Phone: (520) 364-5437
Fax: (520) 364-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52572 | Arizona |
Profile Details
| NPI number | 1144560160 |
|---|---|
| LBN Legal business name | Marrero Velis, Eduardo Antonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2013 |
| Last updated | Nov 17th, 2016 - about 8 years 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 | 1144560160 | NPPES |
| Arizona | MEDICAID | 171732 |
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