Derik Ivan Marrero, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

17309 Issued in PR

Practice address

B5 Calle Tabonuco
Suite 106 Galeria San Patricio
Guaynabo, PR 00968-3004

Phone

(787) 273-7000

Fax

(787) 273-7019

NPI assigned

Jun 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Puerto Rico School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjcdmarre@yourcarecommunity.org

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.

• Derik I. Marrero Amadeo M.D., LLC

  • Plastic Surgery Physician
  • San Juan, PR
  • NPI 1851714497
  Medicare reassignment NPD Authorized official
• Recinto de Ciencias Medicas

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Juan, PR
  • NPI 1205868676
  NPD
• Ian C. Marrero-Amadeo MD, LLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • San Juan, PR
  • NPI 1558786988
  NPD (past)
• Instituto Medico del Norte Inc

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169
  NPD (past)
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1437355617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B5 CALLE TABONUCO",
            "address_2": "SUITE 106 GALERIA SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683004",
            "telephone_number": "787-273-7000",
            "fax_number": "787-273-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B5 CALLE TABONUCO",
            "address_2": "SUITE 106 GALERIA SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683004",
            "telephone_number": "787-273-7000",
            "fax_number": "787-273-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "DERIK",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PR",
            "license": "17309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davisrael Marrero Ocasio, 1133P
• Gabriel Marrero Ortiz, 1582P
• Jennifer Marrero Perea, PHARMD
• Gabriel Marrero Rivera, 1928P
• Monica Marrero-Soto, M.D.
• Emmanuel Marrero
• Gilberto Javier Marrero, PSYD
• Isonia M Marrero, PHARMACIST
• Wanda Marrero
• Yamil Marrero

• Plastic and Reconstructive Surgery Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Plastic and Reconstructive Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.