Active NPI
Jomary Marrero, LPC
- Mental Health Counselor
- San Juan, PR
National Provider Identifier
1447912506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4294
- Practice address
- Cordoba Park 400
Bo Tortugo Apt 70
San Juan, PR 00926 - Phone
- (787) 344-1471
- NPI assigned
- Oct 6, 2021
- Last updated
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4294 | PR | Primary |
Addresses
Primary practice location
Cordoba Park 400
Bo Tortugo Apt 70
San Juan, PR 00926
Mailing address
Cordoba Park 400
Bo Tortugo Apt 70
San Juan, PR 00926
Phone (787) 344-1471
Other names 1
- Jomary Marrero Miranda
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4294 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1447912506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CORDOBA PARK 400",
"address_2": "BO TORTUGO APT 70",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-344-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORDOBA PARK 400",
"address_2": "BO TORTUGO APT 70",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-344-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "JOMARY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "4294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOMARY",
"last_name": "MARRERO MIRANDA",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.