Individual provider Active NPI

Irmarie Marrero Marrero, DMD

  • General Practice Dentistry
  • Corozal, PR
National Provider Identifier
1316503261
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
003344 Issued in PR
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

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000984 PR Practitioner - Dentist 9739574112 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003344PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Cossma, Inc. CurrentSince Dec 14, 2021 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc. General Practice CurrentSince Jul 11, 2025 Accepting new patients
Cossma Inc CurrentSince Dec 14, 2021 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jul 11, 2025 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.

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

Verify at the official NPI Registry.