Joham Senior Marino, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

7863 Issued in PR

Practice address

Piso 1 Suite 104a
Bayamon Medical Plaza
Bayamon, PR 00960

Phone

(787) 798-9522

Fax

(787) 798-9500

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Gastroenterology

Education

University Central del Caribe Escuela de Medicina, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Recinto de Ciencias Medicas

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1255357174
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Departamento de Salud Oficial

  • General Acute Care Hospital
  • Rio Piedras, PR
  • NPI 1407859036
  Care Compare affiliation

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1053370130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600365",
            "telephone_number": "787-798-9522",
            "fax_number": "787-798-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PISO 1 SUITE 104A",
            "address_2": "BAYAMON MEDICAL PLAZA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-798-9522",
            "fax_number": "787-798-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIOR MARINO",
        "first_name": "JOHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "7863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Seda, M.D.
• Neira I Segarra, M.D.
• Jennifer Marie Segui Mercado
• Enrique Segura Nieves, M.D.
• Senen Segura Nieves, D.D.S.
• Carlos Alexis Sepulveda, MSW
• Jessica L Sepulveda, M.S.
• Eric H Serrano Forty, DMD
• Yanissa Serrano Gonzalez, CPHT
• Chelsea Serrano Lopez

• Gastroenterology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.