Active NPI
Michelle Marie Marquez Rosario, MD
- Geriatric Medicine (Family Medicine) Physician
- Loiza, PR
National Provider Identifier
1063987279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 22356
- Practice address
- Carr 188 # 187
Loiza, PR 00772-1850 - Phone
- (787) 876-2042
- Fax
- (787) 256-1900
- NPI assigned
- Oct 4, 2018
- Last updated
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 22356 | PR | |
| Family Medicine Physician | 207Q00000X | 22356 | PR | |
| Family Medicine Physician | 207Q00000X | 34968 | PR | |
| Family Medicine Physician | 207Q00000X | 15245-I | PR | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 22356 | PR | Primary |
Addresses
Primary practice location
Carr 188 # 187
Loiza, PR 00772-1850
Mailing address
#64B Goyco Street
Caguas, PR 00725
Phone (787) 746-2530
Other practice location 1
Paseos de Degetau
Apt. 3104
Caguas, PR 00727-0072
Phone (787) 691-5293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5027105 | Other | PR | LICENSE IDENTIFICATION |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15245-I | PR | MD | Family Medicine Physician |
| 34968 | PR | MD | Family Medicine Physician |
| 22356 | PR | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Family Medical Care, CSP | Family Medicine | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Caguas, PR
- NPI 1821139197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1063987279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#64B GOYCO STREET",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-746-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 188 # 187",
"city": "LOIZA",
"state": "PR",
"postal_code": "007721850",
"telephone_number": "787-876-2042",
"fax_number": "787-256-1900"
}
],
"practiceLocations": [
{
"address_1": "Paseos de Degetau",
"address_2": "Apt. 3104",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "007270072",
"country_code": "US",
"telephone_number": "787-691-5293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUEZ ROSARIO",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "22356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "22356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "34968",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "15245-I",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PR",
"license": "22356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE IDENTIFICATION",
"identifier": "5027105",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loiza, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.