Individual provider Active NPI

Antonia Herminia Marques, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1275579344
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6082 Issued in PR
Practice address
La Cumbre GDS Apt.105,Calle Santa Rosa#200
San Juan, PR 00926
Phone
(178) 772-0693
Fax
(178) 727-1377
NPI assigned
Jun 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6082 PR Primary

Addresses

Primary practice location

La Cumbre GDS Apt.105,Calle Santa Rosa#200
San Juan, PR 00926

Mailing address

La Cumbre GDS Apt.105,Calle Santa Rosa#200
San Juan, PR 00926
Phone (178) 772-0693

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
I20170502002791 PR Practitioner - Internal Medicine 9133406069 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6082PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Feb 20, 2017 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince Feb 20, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amarques@prconcra.directbygreenway.com

Organizations & group practices 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275579344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA CUMBRE GDS APT.105,CALLE SANTA ROSA#200",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "178-772-0693",
            "fax_number": "178-727-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA CUMBRE GDS APT.105,CALLE SANTA ROSA#200",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "178-772-0693",
            "fax_number": "178-727-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "ANTONIA",
        "middle_name": "HERMINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.