Active NPI
Ernesto Rafael Marrero, M.D.
- Psychiatry Physician
- Bayamon, PR
National Provider Identifier
1487780375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6021
- Practice address
- Calle Santa Cruz 66
Instituto San Pablo Suite 507
Bayamon, PR 00961 - Phone
- (787) 740-2010
- Fax
- (787) 740-8377
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6021 | PR | Primary |
Addresses
Primary practice location
Calle Santa Cruz 66
Instituto San Pablo Suite 507
Bayamon, PR 00961
Mailing address
Calle Santa Cruz 66
Instituto San Pablo Suite 507
Bayamon, PR 00961
Phone (787) 740-2010
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060329000199 | PR | Practitioner - Psychiatry | 4385652619 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 Calle Santa Cruz
Bayamon, PR 00961-7041
Phone (787) 740-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6021 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1487780375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE SANTA CRUZ 66",
"address_2": "INSTITUTO SAN PABLO SUITE 507",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-740-2010",
"fax_number": "787-740-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SANTA CRUZ 66",
"address_2": "INSTITUTO SAN PABLO SUITE 507",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-740-2010",
"fax_number": "787-740-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "ERNESTO",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "6021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.