LISANDRA MORAN MARRERO
NPI 1104776020
Dentist - General Practice in Tulare, CA

Active since January 30, 2026
1263 N CHERRY ST, TULARE, CA 93274(559) 556-6082 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisandra Moran Marrero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISANDRA MORAN MARRERO (NPI 1104776020) is an individual general practice provider in Tulare, California, licensed in California (112519) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1104776020
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLISANDRA MORAN MARRERO
Location Address1263 N CHERRY STTulare, CA 93274-2233
Mailing Address3951 Sw 129th AveMiami, FL 33175-3311 · (786) 801-9144
Sole ProprietorYes
Enumeration DateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
NPI 1104776020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 112519
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1263 N CHERRY ST, Tulare, CA 93274

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1263 N CHERRY ST
TULARE, CA 93274
Dentist
1263 N CHERRY ST
TULARE, CA 93274
Dentist (General Practice)
1263 N CHERRY ST
TULARE, CA 93274
Dentist (General Practice)
1263 N CHERRY ST
TULARE, CA 93274
Clinic/Center (Dental)
1263 N CHERRY ST
TULARE, CA 93274
Dentist (General Practice)
1263 N CHERRY ST
TULARE, CA 93274
Dentist (General Practice)
1263 N CHERRY ST
TULARE, CA 93274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisandra Moran Marrero's NPI number?

The NPI number for Lisandra Moran Marrero is 1104776020. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Lisandra Moran Marrero located?

Lisandra Moran Marrero practices at 1263 N Cherry St, Tulare, CA 93274. The listed phone number is (559) 556-6082.

What is Lisandra Moran Marrero's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lisandra Moran Marrero was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.