Organization Active NPI

De Mujer a Mujer LLC

  • Surgical Oncology Physician
  • Bayamon, PR
National Provider Identifier
1396449591
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
DE MUJER A MUJER LLC
Practice address
Metro Medical Center
1995, Oficina 401 B
Bayamon, PR 00959-0095
Phone
(787) 753-3412
NPI assigned
Mar 30, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dr. Sandra Enid Marrero, MD
Title
Medical Director
Phone
(787) 360-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

Metro Medical Center
1995, Oficina 401 B
Bayamon, PR 00959-0095

Mailing address

Rio Hondo 2
Jajome St. Ak12
Bayamon, PR 00961
Phone (787) 360-2973

Other names 1

  • DRA.SANDRA E. MARRERO ORTIZ Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711000014 PR Part B Supplier - Clinic/Group Practice 9931574464 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamn, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1396449591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIO HONDO 2",
            "address_2": "JAJOME ST. AK12",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-360-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO MEDICAL CENTER",
            "address_2": "1995, OFICINA 401 B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590095",
            "telephone_number": "787-753-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE MUJER A MUJER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-360-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRA.SANDRA E. MARRERO ORTIZ",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DRA.SANDRA E. MARRERO ORTIZ",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.