Individual provider Active NPI

Sandra Enid Marrero Ortiz, MD

  • Surgery Physician
  • Bayamon, PR
National Provider Identifier
1245358118
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12523 Issued in PR
Practice address
1995 Carr 2 Ste 2401
Bayamon, PR 00959-5056
Phone
(787) 753-3412
Fax
(787) 753-3413
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12523 PR Primary

Addresses

Primary practice location

1995 Carr 2 Ste 2401
Bayamon, PR 00959-5056

Mailing address

Rio Hondo 2
Ak-12 Rio Jajome
Bayamon, PR 00961
Phone (787) 360-2973

Other practice location 1

400 Ave Domenech
Suite 412
San Juan, PR 00918-3710
Phone (787) 753-3412

Other identifiers 1

IdentifierTypeStateIssuer
ME126510OtherFLFLORIDA MEDICAL LICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sandra.Marrero-Ortiz@21co.com Health Information Exchange (HIE)

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
I20200511001303 PR Practitioner - General SurgeryPractitioner - Surgical Oncology 6305071861 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1995 Carr 2
Suite 2401
Bayamon, PR 00959-5056

Metro Medical Ctr Carretera
2 1995 Ofc 401B
Bayamon, PR 00959
Phone (787) 753-3412

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
De Mujer a Mujer LLC Surgical Oncology CurrentSince Feb 16, 2023 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1245358118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIO HONDO 2",
            "address_2": "AK-12 RIO JAJOME",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-360-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 CARR 2 STE 2401",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595056",
            "telephone_number": "787-753-3412",
            "fax_number": "787-753-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Ave Domenech",
            "address_2": "SUITE 412",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183710",
            "country_code": "US",
            "telephone_number": "787-753-3412",
            "fax_number": "787-753-3413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO ORTIZ",
        "first_name": "SANDRA",
        "middle_name": "ENID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENCE",
            "identifier": "ME126510",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sandra.Marrero-Ortiz@21co.com",
            "affiliation": "N",
            "endpointDescription": "email from office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "720 Doctors Dr",
            "city": "Englewood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342233992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.