Active NPI
Miguel A. Marrero - Rivera, M.D.
- Pediatric Anesthesiology Physician
- San Juan, PR
National Provider Identifier
1114973476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 11489
- Practice address
- Anesthesiology Department Suite 983
Medical Sciences Campus Upr
San Juan, PR 00936 - Phone
- (787) 758-0640
- Fax
- (787) 758-1327
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11489 | PR | |
| Pediatric Anesthesiology Physician | 207LP3000X | 11489 | PR | Primary |
Addresses
Primary practice location
Anesthesiology Department Suite 983
Medical Sciences Campus Upr
San Juan, PR 00936
Mailing address
Dept. Anestesiologia
PO Box 365067
San Juan, PR 00926-4330
Phone (787) 758-0640
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110215000749 | PR | Practitioner - Anesthesiology | 7719167386 |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
252 San Jorge St
San Juan, PR 00912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11489 | PR | MD | Anesthesiology Physician |
Interoperability endpoints
- sjcmmarre@yourcarecommunity.org
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": "1297641600000",
"number": "1114973476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. ANESTESIOLOGIA",
"address_2": "PO BOX 365067",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264330",
"telephone_number": "787-758-0640",
"fax_number": "787-758-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANESTHESIOLOGY DEPARTMENT SUITE 983",
"address_2": "MEDICAL SCIENCES CAMPUS UPR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-758-0640",
"fax_number": "787-758-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO - RIVERA",
"first_name": "MIGUEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "11489",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "PR",
"license": "11489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.