Active NPI
Alejandro Mayobanex Marmolejo, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1306940481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10598
- Practice address
- J1 5 Street Urb Hillside
San Juan, PR 00926-5225 - Phone
- (787) 720-4043
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10598 | PR | Primary |
Addresses
Primary practice location
J1 5 Street Urb Hillside
San Juan, PR 00926-5225
Mailing address
J1 Calle 5 Urb Hillside
San Juan, PR 00926-5225
Phone (787) 720-4043
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
174 Calle Luis Barreras S
Cayey, PR 00736-4615
Phone (787) 738-3011
Hospital & facility affiliations
- Hospital Menonita de Cayey
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gobierno Municipal de Cayey | Current | Accepting new patients | |
| Gobierno Municipal de Cayey | Current | Accepting new patients | |
| Hospital Menonita de Cayey | General Practice | Past | Accepting new patients |
| Hospital Menonita de Cayey | Past | Accepting new patients |
Locations
174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966
Organizations & group practices 4
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.
-
- Clinic/Center
- Cayey, PR
- NPI 1801800776
-
- Land Ambulance
- Cayey, PR
- NPI 1548424088
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1306940481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "J1 CALLE 5 URB HILLSIDE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265225",
"telephone_number": "787-720-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J1 5 STREET URB HILLSIDE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265225",
"telephone_number": "787-720-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMOLEJO",
"first_name": "ALEJANDRO",
"middle_name": "MAYOBANEX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "10598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.