Marie M Henriquez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22,545 Issued in PR

Practice address

Urb. Santa Marina #264
Calle Santa Elena
Quebradillas, PR 00678

Phone

(939) 275-2872

NPI assigned

Sep 10, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centro de Salud de Lares, Inc

  dba Centro Integrados de Servicios de Salud

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lares, PR
  • NPI 1417907502
  Medicare reassignment NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Metro Pavia Healthcare Centers Inc

  • Radiology Clinic/Center
  • Arecibo, PR
  • NPI 1760723696
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc

  dba Farmacia Centro de Salud de Lares, Inc

  • Community/Retail Pharmacy
  • Lares, PR
  • NPI 1093544132
  NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Bayamon

  • Mammography Clinic/Center
  • Bayamon, PR
  • NPI 1881067031
  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD
• Metro Pavia Healthcare Center

  dba Metro Pavia Clinic Bella Vista

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1841694072
  NPD
• Metro Pavia Healthcare Centers Inc

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
  • NPI 1104166750
  NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1174292247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA MARINA #264",
            "address_2": "CALLE SANTA ELENA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "939-275-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SANTA MARINA #264",
            "address_2": "CALLE SANTA ELENA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "939-275-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "MARIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22,545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Gonzalez, BS.,SLT
• Maria Gonzalez
• Gooddwill Medical Equipment
• Katty Marie Guzman Alvarez
• Hector Martinez Bonet
• Lissette Heredia Perez, PSY D
• Marta Hernandez Hernandez
• Ilia Judith Hernandez-Lopez, MD
• Gladys Hernandez, RPH
• Juan Francisco Hernandez, M.D.

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.