Individual provider Active NPI

Gladymar Gonzalez Marrero, MD

  • Internal Medicine Physician
  • Arecibo, PR
National Provider Identifier
1194381012
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024326 Issued in PR
Practice address
PO Box 659
Arecibo, PR 00613-0659
Phone
(787) 650-7272
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024326 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X 15006I PR

Addresses

Primary practice location

PO Box 659
Arecibo, PR 00613-0659

Mailing address

PO Box 659
Arecibo, PR 00613-0659
Phone (787) 650-7272

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
I20260113003815 PR Practitioner - Internal Medicine 0042796609 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5260 C Ngel Prez Lugo
Ponce, PR 00716

Ave San Luis
Carr 129 KM 1.0
Arecibo, PR 00613-0659
Phone (787) 402-2919

Urb Monte Carlo Calle B
Suite 28
Vega Baja, PR 00693

Urb Montecarlo
Calle B 28
Vega Baja, PR 00693-3201

Hospital & facility affiliations

  • Hospital Pavia Arecibo Hospital, Arecibo, PR, CCN 400087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024326PRMDInternal Medicine Physician
15006IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rivera Ramirez LLC Internal Medicine Past 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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1194381012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130659",
            "telephone_number": "787-650-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130659",
            "telephone_number": "787-650-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MARRERO",
        "first_name": "GLADYMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "024326",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15006I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.