Isennia Marin, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22075 Issued in PR

Practice address

414 Calle Copasu, Llanos de Isabela
Isabela, PR 00662

Phone

(787) 207-6394

NPI assigned

Nov 9, 2020

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

General Practice

Education

San Juan Bautista School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camuy Health Services, Inc.Group PAC ID 3072559301, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Camuy Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camuy, PR
  • NPI 1437105582

  General Practice

  Medicare reassignment Care Compare group NPD
• Imv Health Services, LLC

  • General Practice Physician
  • San German, PR
  • NPI 1740879022
  NPD Authorized official
• Camuy Health Services, Inc.

  • Clinical Medical Laboratory
  • Camuy, PR
  • NPI 1275612780
  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1023619756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 COPASU",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-207-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CALLE COPASU, LLANOS DE ISABELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-207-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ISENNIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "institutodeojos@gmail.com",
            "affiliation": "N",
            "address_1": "Edif Mendez Vigo, Suite 101",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Rivera Maldonado
• Anjelica R Malone, CPM, IBCLC
• Manati Medical Center
• Lourdes Mantilla, MSW
• Joaquin Armando Marcial, DC
• Marliz Medical Services P.S.C.
• Gladymir Marquez, SLP
• Felix Martinez Fortier, M.D.
• Auris Marie Martinez Paredes, SLP
• Melissa Margarita Martinez Rivera, OD

• General Practice Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.