Individual provider Active NPI

Ricardo Juan Marrero, MD

  • Gastroenterology Physician
  • Miami Beach, FL
National Provider Identifier
1093998320
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16988 Issued in PR
Practice address
6301 Collins Ave
Apartment 2905
Miami Beach, FL 33141-4627
Phone
(305) 807-4494
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 16988 PR Primary

Addresses

Primary practice location

6301 Collins Ave
Apartment 2905
Miami Beach, FL 33141-4627

Mailing address

6301 Collins Ave
Apartment 2905
Miami Beach, FL 33141-4627
Phone (305) 807-4494

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
I20080206000562 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 7214010701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University Central del Caribe Escuela de Medicina, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 Calle Santa Cruz
Bayamon, PR 00961-7031
Phone (787) 995-0500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Pablo Gastroenterology PSC Gastroenterology CurrentSince Mar 22, 2016 Accepting new patients

Locations

28 Calle Santa Cruz
Ste 202A
Bayamon, PR 00961
Phone (787) 995-0500

68 Calle Santa Cruz
Ste 202A
Bayamon, PR 00961
Phone (787) 995-0500

425 Carr 693
Dorado, PR 00646
Phone (787) 310-9731

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1093998320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 COLLINS AVE",
            "address_2": "APARTMENT 2905",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414627",
            "telephone_number": "305-807-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 COLLINS AVE",
            "address_2": "APARTMENT 2905",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414627",
            "telephone_number": "305-807-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "RICARDO",
        "middle_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "16988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.