Active NPI
Ramon A Marquez, DMD
- Dentist
- Mayaguez, PR
National Provider Identifier
1619187564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 002724
- Practice address
- 151 Calle de Diego E
Mayaguez, PR 00680-5093 - Phone
- (787) 832-5125
- Fax
- (787) 789-7418
- NPI assigned
- May 22, 2007
- Last updated
- Apr 4, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 002724 | PR | Primary |
Addresses
Primary practice location
151 Calle de Diego E
Mayaguez, PR 00680-5093
Mailing address
151 Calle de Diego E
Mayaguez, PR 00680-5093
Phone (787) 832-5125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42569MA | Other | PR | TRIPLE S |
| 9690131 | Other | PR | HUMANA |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150929003280 | PR | Order and Referring Only - Dentist | 2668780354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002724 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1619187564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 CALLE DE DIEGO E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006805093",
"telephone_number": "787-832-5125",
"fax_number": "787-789-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 CALLE DE DIEGO E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006805093",
"telephone_number": "787-832-5125",
"fax_number": "787-789-7418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "RAMON",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "002724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "42569MA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9690131",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Maribel Alonso Gonzalez / Farmacia Gloriel (Famarcia Gloriel)
- Marisol Rivera Misla (Caribbean Pain Clinic)
- Marlyn Rodriguez Ginorio (Laboratorio Clinico Pol)
- Javier Marquez Graciani, MD
- Armando Juan Marquez, MD
- Jacob Abdeel Marrero, LCSW
- Janice Marrero, LCR, CRC
- Emely Martell Alcover, PSY D
- Melissa Martin, MS
- Jose L Martinez Camacho, LICD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.