Randy Omar Marquez Caban, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16270 Issued in PR

Practice address

Bo Pugnado Adentro Carr 155 KM 58.5
Vega Baja, PR 00693-9767

Phone

(787) 969-0020

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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.

• Primary Medical & Wound Care Center

  • Primary Care Clinic/Center
  • Vega Baja, PR
  • NPI 1710202742

  PR

  Medicare reassignment Care Compare group NPD
• Advanced Wound Healing Corp.

  • Multi-Specialty Clinic/Center
  • Santurce, PR
  • NPI 1194885863
  NPD (past)
• Metropolitan Wound Care

  • Family Medicine Physician
  • Santurce, PR
  • NPI 1356312870
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospicio la Milagrosa Inc.

  • Community Based Hospice Care Agency
  • Morovis, PR
  • NPI 1912059940

  Hospice

  Care Compare affiliation

Specialty

General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Medical and Wound Care Center 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio la Milagrosa, Inc Hospice, Morovis, PR, CCN 401560

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2024.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1275572000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 27078",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO PUGNADO ADENTRO CARR 155 KM 58.5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939767",
            "telephone_number": "787-969-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ CABAN",
        "first_name": "RANDY",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Maldonado
• Manuel Medina
• Luz Maria Marcano
• Vicotr Julio Mariano Mercedes, M.D.
• Keyla Mariano-Mejia
• Yamil Marrero Cordova
• Julia Evelyn Marrero
• Nilda Marrero, MS
• Bethsaida Martinez de Leon
• Yozibel Martinez Santos

• All providers in Vega Baja, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.