Jose A Cebollero Marcucci, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

9035 Issued in PR

Practice address

Hospital San Lucas Guayama Suite 101
Guayama, PR 00784

Phone

(787) 376-6423

NPI assigned

Sep 20, 2007

Last updated

Oct 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jose a Cebollero Marcucci - Surgical Oncology PSC

  • Surgical Oncology Physician
  • Guayama, PR
  • NPI 1720069925
  Medicare reassignment NPD Authorized official
• Hospital Menonita Guayama Inc

  dba Hospital Menonita de Guayama

  • Critical Access Hospital
  • Guayama, PR
  • NPI 1639696289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1346436607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2039",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852039",
            "telephone_number": "787-866-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL SAN LUCAS GUAYAMA SUITE 101",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-376-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBOLLERO MARCUCCI",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Rivera Urology LLC
• Omar Gabriel Caro Feliz, MD
• Sylveth Carrasquillo-Ruiz, LCSW, TAC-III
• Angel L Castaneda-Rueda, MD
• Cynthia J. Castrodad
• Centro Cardionuclear de Guayama, CSP
• Centro Clinico Ginecologico del Sur
• Centro de Gastroenterologia
• Centro de Imagenes E Instituto de la Mujer Cristo Redentor
• Centro de Salud Familia Dr. Julio Palmieri Ferri Inc

• Surgical Oncology Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Surgical Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.

Verify at the official NPI Registry.