Individual provider Active NPI

Jose M. Marcial Suarez, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Cayey, PR
National Provider Identifier
1124334875
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
20760 Issued in PR
Practice address
Centro Medico Menonita de Cayey
Edificio Profesional Suite 410
Cayey, PR 00737
Phone
(787) 388-9001
Fax
(787) 738-2105
NPI assigned
Aug 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD043969 DC
Cardiovascular Disease Physician 207RC0000X 20760 PR
Internal Medicine Physician 207R00000X 20760 PR
Clinical Cardiac Electrophysiology Physician 207RC0001X MD043969 DC
Clinical Cardiac Electrophysiology Physician 207RC0001X 20760 PR Primary

Addresses

Primary practice location

Centro Medico Menonita de Cayey
Edificio Profesional Suite 410
Cayey, PR 00737

Mailing address

404 Ave de la Constitucion Apt 901
San Juan, PR 00901-2247

Other practice location 1

110 Irving St NW
Department of Clinical Cardiac Electrophysiology
Washington, DC 20010-3017
Phone (202) 877-3018

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
I20180410001393 PR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6406119296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Centro Medico Menonita de Cayey
Edificio Profesional Suite 410
Cayey, PR 00736
Phone (787) 388-9001

Hospital & facility affiliations

  • Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043969DCMDCardiovascular Disease Physician
20760PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Cardiac Arrhythmia Management LLC Cardiovascular Disease CurrentSince May 25, 2018 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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1124334875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 AVE DE LA CONSTITUCION APT 901",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO MENONITA DE CAYEY",
            "address_2": "EDIFICIO PROFESIONAL SUITE 410",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-388-9001",
            "fax_number": "787-738-2105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_2": "Department of Clinical Cardiac Electrophysiology",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-3018",
            "fax_number": "202-877-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCIAL SUAREZ",
        "first_name": "JOSE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD043969",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "20760",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20760",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "DC",
            "license": "MD043969",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PR",
            "license": "20760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.