Provider Demographics
NPI:1861261067
Name:MARRERO, GILBERTO JAVIER (PSYD)
Entity type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:JAVIER
Last Name:MARRERO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CALLE REGINA MEDINA # C203
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-6001
Mailing Address - Country:US
Mailing Address - Phone:787-690-2988
Mailing Address - Fax:
Practice Address - Street 1:37 CALLE REGINA MEDINA # C203
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-6001
Practice Address - Country:US
Practice Address - Phone:787-690-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7822103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical