Individual provider Active NPI

Efrain C. Marrero Alvira, MD

  • General Practice Physician
  • Luquillo, PR
National Provider Identifier
1447866884
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21994 Issued in PR
Practice address
Urb Colinas de Luquillo, Calle 4 - Casa 74
Luquillo, PR 00773
Phone
(787) 955-9181
NPI assigned
Sep 21, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21994 PR Primary

Addresses

Primary practice location

Urb Colinas de Luquillo, Calle 4 - Casa 74
Luquillo, PR 00773

Mailing address

PO Box 814
Luquillo, PR 00773-0814
Phone (787) 955-9181

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
I20201118000382 PR Practitioner - Internal MedicinePractitioner - General Practice 2860803103 Reassigns benefits to 1 organization
Practice locations: Fajardo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21994PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Marrero Medical Services LLC General Practice CurrentSince Mar 15, 2025 Accepting new patients

Locations

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1447866884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730814",
            "telephone_number": "787-955-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB COLINAS DE LUQUILLO, CALLE 4 - CASA 74",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-955-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO ALVIRA",
        "first_name": "EFRAIN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

Verify at the official NPI Registry.