Active NPI
Irmarie Marrero Marrero, DMD
- General Practice Dentistry
- Corozal, PR
National Provider Identifier
1316503261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 003344
- Practice address
- A20 Calle E
Urbanizacion Sobrino
Corozal, PR 00783-0303 - Phone
- (787) 702-8227
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 003344 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
A20 Calle E
Urbanizacion Sobrino
Corozal, PR 00783-0303
Mailing address
Urb. Sobrino
Calle E Bloque a-20
Corozal, PR 00783
Phone (787) 702-8227
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | marrero.irmarie@gmail.com |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322000984 | PR | Practitioner - Dentist | 9739574112 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003344 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc. | Current | Accepting new patients | |
| Cossma, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | General Practice | Current | Accepting new patients |
| Cossma Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients |
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Comerio, PR
- NPI 1275556946
PR
-
- Federally Qualified Health Center (FQHC)
- Naranjito, PR
- NPI 1578586244
PR
-
- Clinical Medical Laboratory
- Humacao, PR
- NPI 1407408347
-
- Radiology Clinic/Center
- Bayamon, PR
- NPI 1306327341
-
- Clinic/Center
- Dorado, PR
- NPI 1760371868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1316503261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. SOBRINO",
"address_2": "CALLE E BLOQUE A-20",
"city": "COROZAL",
"state": "PR",
"postal_code": "00783",
"telephone_number": "787-702-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A20 CALLE E",
"address_2": "URBANIZACION SOBRINO",
"city": "COROZAL",
"state": "PR",
"postal_code": "007830303",
"telephone_number": "787-702-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO MARRERO",
"first_name": "IRMARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "003344",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "marrero.irmarie@gmail.com",
"affiliation": "N",
"address_1": "A20 Calle E",
"address_2": "Urbanizacion Sobrino",
"city": "Corozal",
"state": "PR",
"country_code": "US",
"postal_code": "007830303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.