Individual provider Active NPI

Selena Torres Marrero I, ENFERMERA

  • General Practice Registered Nurse
  • Salinas, PR
National Provider Identifier
1013673722
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
96460-G Issued in PR
Practice address
Carr 3 KM 152.1
Barriada Lopez Barrio Aguirre
Salinas, PR 00751
Phone
(787) 410-6076
Fax
(787) 803-9093
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 96460-G PR Primary

Addresses

Primary practice location

Carr 3 KM 152.1
Barriada Lopez Barrio Aguirre
Salinas, PR 00751

Mailing address

PO Box 540
Aguirre, PR 00704-0540
Phone (787) 410-6076

Other identifiers 1

IdentifierTypeStateIssuer
96460-GOtherPRLICENCIA DE ENFERMERIA

Other names 1

  • Miss Selena Torres Marrero I Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smartpediatriccare@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96460-GPRMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Business Group CurrentSince May 22, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1013673722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040540",
            "telephone_number": "787-410-6076",
            "fax_number": "787-803-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 152.1",
            "address_2": "BARRIADA LOPEZ BARRIO AGUIRRE",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-410-6076",
            "fax_number": "787-803-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "SELENA",
        "middle_name": "TORRES",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "ENFERMERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "96460-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE ENFERMERIA",
            "identifier": "96460-G",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smartpediatriccare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carr 3 Km 152.1",
            "address_2": "Barriada Lopez Barrio Aguirre",
            "city": "Salinas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "MARRERO",
            "middle_name": "TORRES",
            "prefix": "MISS",
            "suffix": "I",
            "credential": "ENFERMERA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.