Marie Med Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARIE MED CORP

Practice address

845 Carr 693 Suite 14
Plaza Dorada
Dorado, PR 00646-6708

Phone

(787) 278-6300

Fax

(787) 278-6300

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mariela Vazquez, PHARMACIST

Title

Owner

Phone

(787) 278-6300

Specialties & licenses 2

Addresses

Other names 2

• Farmacia Marie Dorado Doing business as
• Marie Med Corp Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1366830291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CARR 693 SUITE 14",
            "address_2": "PLAZA DORADA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006466708",
            "telephone_number": "787-278-6300",
            "fax_number": "787-278-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CARR 693 SUITE 14",
            "address_2": "PLAZA DORADA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006466708",
            "telephone_number": "787-278-6300",
            "fax_number": "787-278-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-278-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "16F3245",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Marie Dorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marie Med Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Marie Med Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Keidy I. Maldonado Aponte, L.N.D.
• Sandra N Maldonado-Rivera, M.D.
• Joanne Marie Maldonado, PSY D
• Margarita Aurelia Mankus, MD
• Michele C Marcantoni Pacheco, MD
• Yasmin Marin Torres, PHARMD
• Ingrid Milagros Marino, MD
• Oscar Marrero Ortiz, MD
• Franches Mary Marrero
• Maria S Marrero

• Community/Retail Pharmacy in Dorado, PR
• Providers in Dorado, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.