Active NPI
Luis Marrero Abascal, MD
- General Practice Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 018662
- Practice address
- RR 36 Box 1239
San Juan, PR 00926-9805 - Phone
- (787) 923-9625
- NPI assigned
- Jun 24, 2008
- 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 | 018662 | PR | Primary |
Addresses
Primary practice location
RR 36 Box 1239
San Juan, PR 00926-9805
Mailing address
RR 36 Box 1239
San Juan, PR 00926-9805
Phone (787) 923-9625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
729 Beville Rd
South Daytona, FL 32119-1823
Phone (386) 256-4791
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018662 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy H Hinman MD PA | Current | Accepting new patients | |
| Island Doctors Intrastate LLC | Current | Accepting new patients |
Locations
1737 N Clyde Morris Blvd
Daytona Beach, FL 32117
Phone (321) 888-3020
1737 N Clyde Morris Blvd
Ste 150
Daytona Beach, FL 32117
Phone (386) 256-2370
700 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 301-4067
729 Beville Rd
South Daytona, FL 32119
Phone (386) 256-4791
103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747
2460 Old Moultrie Rd
Ste 2
St Augustine, FL 32086
Phone (904) 293-0299
100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Saint Augustine, FL
- NPI 1568083889
-
- Family Medicine Physician
- St Augustine, FL
- NPI 1649383845
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1326209073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 36 BOX 1239",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269805",
"telephone_number": "787-923-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 36 BOX 1239",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269805",
"telephone_number": "787-923-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO ABASCAL",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "018662",
"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 Aug 12, 2014; 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.