Individual provider Active NPI

Jaime Marques Marques, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Juan, PR
National Provider Identifier
1043266265
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
6170 Issued in PR
Practice address
4 Calle San Carlos
Urb. Mansiones de Caldas
San Juan, PR 00926-5330
Phone
(787) 789-7039
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 6170 PR Primary

Addresses

Primary practice location

4 Calle San Carlos
Urb. Mansiones de Caldas
San Juan, PR 00926-5330

Mailing address

4 Calle San Carlos
Urb. Mansiones de Caldas
San Juan, PR 00926-5302
Phone (787) 789-7039

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
I20061030000317 PR Practitioner - Emergency MedicinePractitioner - General Practice 8729084520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University Central del Caribe Escuela de Medicina, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Administracion de Servicios Medicos de Puerto RicoGroup PAC ID 4385715671, 6 clinicians

Practice addresses (Care Compare)

Edificio Central Julio a Perez
Bo Monacillo Carretera 22
San Juan, PR 00922
Phone (787) 777-3535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7659PRMDPsychologist
6170PRMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios Medicos de Puerto Rico CurrentSince Nov 23, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 3, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 3, 2018 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1043266265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE SAN CARLOS",
            "address_2": "URB. MANSIONES DE CALDAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265302",
            "telephone_number": "787-789-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE SAN CARLOS",
            "address_2": "URB. MANSIONES DE CALDAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265330",
            "telephone_number": "787-789-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES MARQUES",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.