Individual provider Active NPI

Jeamarie Pascual-Marrero, M.D.

  • Otolaryngology Physician
  • San Juan, PR
National Provider Identifier
1598015265
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
019538 Issued in PR
Practice address
29 Calle Washington
Ashford Medical Tower Suite 805
San Juan, PR 00907-0001
Phone
(787) 509-5559
NPI assigned
Sep 10, 2012
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 019538 PR Primary

Addresses

Primary practice location

29 Calle Washington
Ashford Medical Tower Suite 805
San Juan, PR 00907-0001

Mailing address

PO Box 23318
San Juan, PR 00931-3318
Phone (787) 509-5559

Other practice location 1

Calle Molinillo
Clinica Medicina Especializada Doctors Center Hospital
Carolina, PR 00988
Phone (787) 509-5559

Other identifiers 1

IdentifierTypeStateIssuer
019538OtherPROTOLARYNGOLOGY-HEAD AND NECK SURGERY

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
I20170624000130 PR Practitioner - Otolaryngology 6901174440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1452 Ave Ashford
Suite 1B
San Juan, PR 00907-1581
Phone (787) 406-0301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019538PRMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC CurrentSince Apr 17, 2018 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Mar 11, 2019 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Mar 11, 2019 Accepting new patients
Hospitalist Medical Services, PSC Single Specialty CurrentSince Apr 17, 2018 Accepting new patients
JPM ENT Surgical LLC Single Specialty CurrentSince Aug 1, 2017 Accepting new patients
ENT Healthcare LLC Single Specialty PastSince Apr 20, 2025 Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1598015265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23318",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009313318",
            "telephone_number": "787-509-5559",
            "fax_number": "888-373-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "ASHFORD MEDICAL TOWER SUITE 805",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009070001",
            "telephone_number": "787-509-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Molinillo",
            "address_2": "Clinica Medicina Especializada Doctors Center Hospital",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00988",
            "country_code": "US",
            "telephone_number": "787-509-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCUAL-MARRERO",
        "first_name": "JEAMARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "019538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTOLARYNGOLOGY-HEAD AND NECK SURGERY",
            "identifier": "019538",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.