Organization Active NPI

Marrero Endocrinology and Metabolism LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Arecibo, PR
National Provider Identifier
1235724378
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MARRERO ENDOCRINOLOGY AND METABOLISM LLC
Practice address
11 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone
(787) 568-3573
NPI assigned
Mar 1, 2021
Last updated
Dec 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2022

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

Authorized official

Name
Maria Del Carmen Marrero Mendez, MDNPI 1659758324
Title
Sole Proprietor
Phone
(787) 376-6384

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

11 Calle Ana Lens de Susoni
Arecibo, PR 00612

Mailing address

PO Box 141591
Arecibo, PR 00614-1591
Phone (787) 568-3573

Other identifiers 1

IdentifierTypeStateIssuer
19896OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210326001361 PR Part B Supplier - Clinic/Group Practice 5496162091 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Locations

11 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone (787) 568-3573

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671840000000",
    "number": "1235724378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141591",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141591",
            "telephone_number": "787-568-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE ANA LENS DE SUSONI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-568-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRERO ENDOCRINOLOGY AND METABOLISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A",
        "authorized_official_last_name": "MARRERO MENDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "787-376-6384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19896",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.