Individual provider Active NPI

Luis Alberto Marrero Sr.

  • Clinical Social Worker
  • Coto Laurel, PR
National Provider Identifier
1396043220
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10428 Issued in PR
Practice address
1 Calle del Parque
Coto Laurel, PR 00780-2151
Phone
(787) 358-7948
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10428 PR Primary

Addresses

Primary practice location

1 Calle del Parque
Coto Laurel, PR 00780-2151

Mailing address

104 Calle Ruisenor
Juana Diaz, PR 00795-7000
Phone (787) 358-7948

Other names 1

  • Mr. Luis Alberto Marrero Sr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10428PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1396043220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CALLE RUISENOR",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007957000",
            "telephone_number": "787-358-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE DEL PARQUE",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802151",
            "telephone_number": "787-358-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "MARRERO",
            "middle_name": "ALBERTO",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "MSW, MIOP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.