Active NPI
Marlene Michelle Pierantoni, M.D.
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1265600399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17591
- Practice address
- 21 Casia Street
VA Caribbean Healthcare System
San Juan, PR 00921 - Phone
- (787) 642-7581
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | ME 100358 | FL | |
| Psychiatry Physician | 2084P0800X | ME100358 | FL | |
| Psychiatry Physician | 2084P0800X | 17591 | PR | Primary |
Addresses
Primary practice location
21 Casia Street
VA Caribbean Healthcare System
San Juan, PR 00921
Mailing address
21 Casia Street
VA Caribbean Healthcare System
San Juan, PR 00921
Phone (787) 642-7581
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 100358 | FL | MD | Psychosomatic Medicine Physician |
| ME100358 | FL | MD | Psychiatry Physician |
| 17591 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1265600399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CASIA STREET",
"address_2": "VA CARIBBEAN HEALTHCARE SYSTEM",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-642-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CASIA STREET",
"address_2": "VA CARIBBEAN HEALTHCARE SYSTEM",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-642-7581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERANTONI",
"first_name": "MARLENE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "FL",
"license": "ME 100358",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME100358",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "17591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.