Organization Active NPI

CDT Dr. Marrero

  • Health Service Clinic/Center
  • Arecibo, PR
National Provider Identifier
1023051844
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
137 Issued in PR
Legal business name
CDT DR. MARRERO
Practice address
54 Calleteniente Garcia
Arecibo Gardens
Arecibo, PR 00612-4261
Phone
(787) 878-5534
Fax
(787) 878-5570
NPI assigned
Jun 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ana I. Garcia
Title
Office Supervisor
Phone
(787) 878-5534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 137 PR Primary

Addresses

Primary practice location

54 Calleteniente Garcia
Arecibo Gardens
Arecibo, PR 00612-4261

Mailing address

PO Box 1905
Arecibo, PR 00613-1905
Phone (787) 878-5534

Other identifiers 1

IdentifierTypeStateIssuer
31055MedicaidPR

National Provider Directory

National Provider Directory

Locations

54 Calle Tnte Luis R Garcia
#4
Arecibo, PR 00612
Phone (809) 878-5534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023051844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006131905",
            "telephone_number": "787-878-5534",
            "fax_number": "787-878-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLETENIENTE GARCIA",
            "address_2": "ARECIBO GARDENS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124261",
            "telephone_number": "787-878-5534",
            "fax_number": "787-878-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DR. MARRERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "787-878-5534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31055",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.