Individual provider Active NPI

Radames A. Marin Vieira, MD

  • Family Medicine Physician
  • Sabana Grande, PR
National Provider Identifier
1285619619
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10758 Issued in PR
Practice address
Felix Tio #35
Sabana Grande, PR 00637
Phone
(787) 873-5511
Fax
(787) 873-5511
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10758 PR Primary

Addresses

Primary practice location

Felix Tio #35
Sabana Grande, PR 00637

Mailing address

PO Box 807
Yauco, PR 00698-0807
Phone (787) 364-0514

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
I20120911000235 PR Practitioner - Family Practice 7719135185 Practice locations: Sabana Grande, PR; Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Carr 128 KM
2 Yauco Gallery
Yauco, PR 00698-4435
Phone (787) 364-0514

35 Calle Felix Tio
Sabana Grande, PR 00637-1834
Phone (787) 364-0514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10758PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Radames Antonio Marin-Medicina de Familia CSP Family Medicine PastSince Jul 31, 2022 Accepting new patients
Policlinica Dr. Radames Marin Inc PastSince Aug 23, 1993 Accepting new patients
Centro de Vacunacion Policlinica Dr. Radames Marin, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1285619619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980807",
            "telephone_number": "787-364-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FELIX TIO #35",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-873-5511",
            "fax_number": "787-873-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN VIEIRA",
        "first_name": "RADAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.