Individual provider Active NPI

Barbara Adangie Marrero Rodriguez, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1306453188
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22028 Issued in PR
Practice address
San Bartolome D10
Notre Dame
Caguas, PR 00725-3922
Phone
(787) 370-0061
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22028 PR Primary

Addresses

Primary practice location

San Bartolome D10
Notre Dame
Caguas, PR 00725-3922

Mailing address

San Bartolome D10
Notre Dame
Caguas, PR 00725-3922
Phone (787) 370-0061

Other identifiers 1

IdentifierTypeStateIssuer
00236426OtherPRREGISTRY

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
I20210208000401 PR Practitioner - General Practice 4981018744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Ambulatory Services Inc 10 clinicians

Practice addresses (Care Compare)

Plaza del Carmen Mall
Suite 24
Caguas, PR 00725-0072

Plaza del Carmen Mall
Suite 24
Caguas, PR 00726-0072
Phone (787) 286-6060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22028PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Aug 21, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Aug 21, 2021 Accepting new patients
PR Healthcare Management Group CurrentSince Feb 1, 2021 Accepting new patients
Centro Medico del Turabo Inc General Practice Current Accepting new patients
PR Healthcare Management Group CurrentSince Feb 1, 2021 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

Interoperability endpoints

  • Direct secure messaging: barbara.marrerorodriguez@4048.securemail.prognocis.com

Organizations & group practices 6

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1306453188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN BARTOLOME D10",
            "address_2": "NOTRE DAME",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253922",
            "telephone_number": "787-370-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN BARTOLOME D10",
            "address_2": "NOTRE DAME",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253922",
            "telephone_number": "787-370-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO RODRIGUEZ",
        "first_name": "BARBARA",
        "middle_name": "ADANGIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY",
            "identifier": "00236426",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.