Individual provider Active NPI

Raymond Marrero, DPT, PT, ATC

  • Physical Therapist
  • Luquillo, PR
National Provider Identifier
1487209680
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4697 Issued in PR
Practice address
Playa Azul Center Local #4 Carr.193 KM 1.0
Luquillo, PR 00773-0077
Phone
(787) 889-6012
NPI assigned
Aug 5, 2019
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4697 PR Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

Playa Azul Center Local #4 Carr.193 KM 1.0
Luquillo, PR 00773-0077

Mailing address

HC 3 Box 7662
Canovanas, PR 00729-9715

Other practice location 1

1115 College Dr
Gaffney, SC 29340-3778
Phone (864) 488-8252

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1143-1PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Consultants Centro Fisiatrico del Caribe Single Specialty CurrentSince Jul 6, 2026 Accepting new patients

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1487209680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 7662",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAYA AZUL CENTER LOCAL #4 CARR.193 KM 1.0",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730077",
            "telephone_number": "787-889-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 College Dr",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293403778",
            "country_code": "US",
            "telephone_number": "864-488-8252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4697",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.