Active NPI
Ernesto X Marrero de Gracia, M.D.
- Internal Medicine Physician
- Bayamon, PR
National Provider Identifier
1295743367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15171
- Practice address
- Instituto San Pablo
Suite 507 Calle Santa Cruz #66
Bayamon, PR 00961 - Phone
- (787) 740-2010
- Fax
- (787) 740-8377
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15171 | PR | Primary |
Addresses
Primary practice location
Instituto San Pablo
Suite 507 Calle Santa Cruz #66
Bayamon, PR 00961
Mailing address
C/2 R-11
San Souci
Bayamon, PR 00957
Phone (787) 599-1174
Other names 1
- Dr. Ernesto X Marrero de Gracia
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060908000298 | PR | Practitioner - Internal Medicine | 0648274498 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 Calle Santa Cruz
Bayamon, PR 00961-7041
Phone (787) 740-2011
Hospital & facility affiliations
- Hospital Espanol Auxilio Mutuo San Pablo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Acquisition I, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295743367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/2 R-11",
"address_2": "SAN SOUCI",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-599-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INSTITUTO SAN PABLO",
"address_2": "SUITE 507 CALLE SANTA CRUZ #66",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-740-2010",
"fax_number": "787-740-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO DE GRACIA",
"first_name": "ERNESTO",
"middle_name": "X",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "15171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERNESTO",
"last_name": "MARRERO DE GRACIA",
"middle_name": "X",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bayamon, 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.
- 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.