Individual provider Active NPI

Juan R Marin Espiet

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1598709768
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14040 Issued in PR
Practice address
Carr 486 KM. 0.2
Bo. Puente
Camuy, PR 00627
Phone
(787) 898-7788
NPI assigned
Jun 16, 2006
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14040 PR Primary

Addresses

Primary practice location

Carr 486 KM. 0.2
Bo. Puente
Camuy, PR 00627

Mailing address

Calle 3 Casa E-2
Urb. Ocean View
Arecibo, PR 00612-3510
Phone (787) 643-4747

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
I20040120000150 PR Practitioner - General Practice 6305747619 Reassigns benefits to 1 organization
Practice locations: Camuy, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 486 KM
2 Bo. Puente
Camuy, PR 00627

Carretera 486 KM
2 Barrio Puente
Camuy, PR 00627
Phone (787) 880-4014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas de Medicinadel Norte CSP CurrentSince Jul 31, 2019 Accepting new patients
Policlinica de Familia Factor Inc Past Accepting new patients
Clinicas de Medicina del Norte,CSP Past Accepting new patients

Organizations & group practices 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1598709768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 3 CASA E-2",
            "address_2": "URB. OCEAN VIEW",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123510",
            "telephone_number": "787-643-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 486 KM. 0.2",
            "address_2": "BO. PUENTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-898-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN ESPIET",
        "first_name": "JUAN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.