Individual provider Active NPI

Pablo Alberto Marrero, M.D

  • Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1568800779
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21527 Issued in PR
Practice address
1507 Ave Ponce de Leon # 22
San Juan, PR 00909-1750
Phone
(787) 725-3555
NPI assigned
Jun 10, 2013
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 21527 PR Primary

Addresses

Primary practice location

1507 Ave Ponce de Leon # 22
San Juan, PR 00909-1750

Mailing address

1507 Ave Ponce de Leon # 22
San Juan, PR 00909-1750
Phone (787) 725-3555

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
I20201019000722 PR Practitioner - Orthopedic Surgery 5294155941 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1507 Ave Ponce de Leon
Suite 22
San Juan, PR 00909-1750
Phone (787) 725-3555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)42

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1568800779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON # 22",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091750",
            "telephone_number": "787-725-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON # 22",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091750",
            "telephone_number": "787-725-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "PABLO",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "21527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.