Individual provider Active NPI

Marian Couto, M.D.

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1013166586
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18268 Issued in PR
Practice address
2225 Ponce by Pass
Edif Parra Ste 603
Ponce, PR 00717
Phone
(787) 492-2000
Fax
(787) 813-0517
NPI assigned
Sep 9, 2008
Last updated
Jun 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18268 PR Primary

Addresses

Primary practice location

2225 Ponce by Pass
Edif Parra Ste 603
Ponce, PR 00717

Mailing address

PO Box 7772
Ponce, PR 00732-7772
Phone (787) 492-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001000121 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173831765 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative CardiologyGroup PAC ID 6305209040, 2 clinicians

Practice addresses (Care Compare)

Edificio Parra
Suite 603 2213 Ponce by Pass
Ponce, PR 00716
Phone (787) 492-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Cardiology Cardiovascular Disease CurrentSince Aug 8, 2023 Accepting new patients
Cardionova P.S.C. PastSince Jun 10, 2019 Accepting new patients

Locations

2213 Ponce Byp
Ste 603
Ponce, PR 00717
Phone (787) 492-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1013166586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7772",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327772",
            "telephone_number": "787-492-2000",
            "fax_number": "787-813-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS",
            "address_2": "EDIF PARRA STE 603",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-492-2000",
            "fax_number": "787-813-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTO",
        "first_name": "MARIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "18268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.