Organization Active NPI

Roger a. Marrero, M.D. Dba Oviedo Primary Care

  • Clinic/Center
  • Oviedo, FL
National Provider Identifier
1104284991
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME0057713 Issued in FL
Legal business name
ROGER A. MARRERO, M.D. DBA OVIEDO PRIMARY CARE
Practice address
1410 W Broadway St
Suite 108
Oviedo, FL 32765-6456
Phone
(407) 359-5098
Fax
(407) 365-5119
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Dr. Roger A Marrero, M.D.NPI 1871577338
Title
Owner
Phone
(407) 359-5098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME0057713 FL Primary

Addresses

Primary practice location

1410 W Broadway St
Suite 108
Oviedo, FL 32765-6456

Mailing address

1410 W Broadway St
Suite 108
Oviedo, FL 32765-6456
Phone (407) 359-5098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1104284991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST",
            "address_2": "SUITE 108",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656456",
            "telephone_number": "407-359-5098",
            "fax_number": "407-365-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST",
            "address_2": "SUITE 108",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656456",
            "telephone_number": "407-359-5098",
            "fax_number": "407-365-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. MARRERO, M.D. DBA OVIEDO PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-359-5098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0057713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.