Individual provider Active NPI

Elvin Castro Marquez Sr., MD

  • Specialist
  • Rio Piedras, PR
National Provider Identifier
1255532438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9258 Issued in PR
Practice address
790 Osuna Los Maestros
Rio Piedras, PR 00923-2414
Phone
(787) 748-7971
Fax
(787) 748-7971
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9258 PR Primary

Addresses

Primary practice location

790 Osuna Los Maestros
Rio Piedras, PR 00923-2414

Mailing address

#790 Osuna Los Maestros
Rio Piedras, PR 00923-2414
Phone (787) 748-7971

Other names 1

  • Dr. Elvin Castro Marquez Sr. Former 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
9258PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255532438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#790 OSUNA LOS MAESTROS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009232414",
            "telephone_number": "787-748-7971",
            "fax_number": "787-748-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 OSUNA LOS MAESTROS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009232414",
            "telephone_number": "787-748-7971",
            "fax_number": "787-748-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ELVIN",
        "middle_name": "CASTRO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELVIN",
            "last_name": "MARQUEZ",
            "middle_name": "CASTRO",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.