Individual provider Active NPI

Pablo E Hernandez Marrero, MD

  • Internal Medicine Physician
  • San German, PR
National Provider Identifier
1396466413
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022977 Issued in PR
Practice address
Ave. Universidad Interamericana San German
122-B
San German, PR 00683
Phone
(787) 366-2422
NPI assigned
Sep 7, 2022
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022977 PR Primary

Addresses

Primary practice location

Ave. Universidad Interamericana San German
122-B
San German, PR 00683

Mailing address

Urb Alturas de Mayaguez
402 Almirante
Mayaguez, PR 00682
Phone (787) 458-9987

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.cms.gov/ Health Information Exchange (HIE)

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
I20251016001002 PR Practitioner - General Practice 3678076767 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

402 Calle Almirante
Mayaguez, PR 00682

402 Calle Almirante
Mayaguez, PR 00682-6242
Phone (787) 458-9987

Urb Alturas de Mayaguez
402 Almirante
Mayaguez, PR 00682-6242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022977PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1396466413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ALTURAS DE MAYAGUEZ",
            "address_2": "402 ALMIRANTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-458-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. UNIVERSIDAD INTERAMERICANA SAN GERMAN",
            "address_2": "122-B",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-366-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MARRERO",
        "first_name": "PABLO",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "022977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.cms.gov/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Urb Alturas de Mayaguez",
            "address_2": "Almirante 402",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.