Individual provider Active NPI

Pablo Vladimir Marrero, MD

  • Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1255397097
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9861 Issued in PR
Practice address
Ave Ponce de Leon #1507
Suite 1-C Pda 22
San Juan, PR 00910
Phone
(787) 725-3555
Fax
(787) 723-6866
NPI assigned
Apr 21, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9861 PR Primary

Addresses

Primary practice location

Ave Ponce de Leon #1507
Suite 1-C Pda 22
San Juan, PR 00910

Mailing address

PO Box 19297
San Juan, PR 00910-1297
Phone (787) 725-3555

Other names 1

  • Mr. Pablo V Marrero Ortiz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9861PRMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial Past Accepting new patients
Recinto de Ciencias Medicas Orthopaedic Surgery Past Accepting new patients
Phalanx Orthopedic Real Estate Past Accepting new patients
Recinto de Ciencias Medicas Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcpmarre@yourcarecommunity.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1255397097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19297",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101297",
            "telephone_number": "787-725-3555",
            "fax_number": "787-723-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON #1507",
            "address_2": "SUITE 1-C PDA 22",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-725-3555",
            "fax_number": "787-723-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "PABLO",
        "middle_name": "VLADIMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "9861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PABLO",
            "last_name": "MARRERO ORTIZ",
            "middle_name": "V",
            "prefix": "MR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.