Individual provider Active NPI

Luis G Marrero Perez

  • Orthopaedic Surgery of the Spine Physician
  • San Juan, PR
National Provider Identifier
1376747386
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
15629 Issued in PR
Practice address
29 Calle Washington Ste 409
29 Washington St.
San Juan, PR 00907-1521
Phone
(787) 710-6266
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15629 PR
Orthopaedic Surgery Physician 207X00000X A105416 CA
Orthopaedic Surgery Physician 207X00000X ME106368 FL
Orthopaedic Surgery of the Spine Physician 207XS0117X A105416 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X ME106368 FL
Orthopaedic Surgery of the Spine Physician 207XS0117X 15629 PR Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME106368 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A105416 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 15629 PR

Addresses

Primary practice location

29 Calle Washington Ste 409
29 Washington St.
San Juan, PR 00907-1521

Mailing address

PO Box 16273
San Juan, PR 00908-6273
Phone (787) 908-3828

Other names 1

  • Luis G Marrero Perez Professional name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000314 PR Practitioner - Orthopedic Surgery 5193879583 Reassigns benefits to 1 organization
Practice locations: Caguas, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ponce School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prspine LLCGroup PAC ID 4284154600, 2 clinicians

Practice addresses (Care Compare)

29 Calle Washington
San Juan, PR 00907-1509
Phone (787) 908-3828

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion205
Laminectomy or laminotomy (partial removal of spine bones)55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15629PRMDOrthopaedic Surgery of the Spine Physician
A105416CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prspine LLC Orthopaedic Surgery of the Spine CurrentSince Dec 9, 2024 Accepting new patients
Florida Spine and Ortho Center Corp Orthopaedic Surgery of the Spine Current Accepting new patients
The Sports Clinic Orthopaedic Medical Associates, Inc. Orthopaedic Surgery PastSince Aug 1, 1991 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Ste 101
Caguas, PR 00725
Phone (787) 908-3828

29 Calle Washington
Ste 308
San Juan, PR 00907
Phone (787) 908-3828

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1376747386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16273",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086273",
            "telephone_number": "787-908-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON STE 409",
            "address_2": "29 WASHINGTON ST.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071521",
            "telephone_number": "787-710-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO PEREZ",
        "first_name": "LUIS",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "15629",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A105416",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME106368",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A105416",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME106368",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PR",
            "license": "15629",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME106368",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A105416",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "15629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "MARRERO PEREZ",
            "middle_name": "G",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.