Individual provider Active NPI

Sonia M Correa Marra

  • Family Medicine Physician
  • Cayey, PR
National Provider Identifier
1619973344
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12270 Issued in PR
Practice address
Carr 1 KM 58.9
Bo Quebrada Arriba
Cayey, PR 00736
Phone
(787) 263-5752
Fax
(787) 263-5753
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12270 PR Primary

Addresses

Primary practice location

Carr 1 KM 58.9
Bo Quebrada Arriba
Cayey, PR 00736

Mailing address

PO Box 373026
Cayey, PR 00737-3026
Phone (787) 263-5752

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
I20040701000265 PR Practitioner - Family PracticePractitioner - General Practice 2466439187 Practice locations: Cayey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12270PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed Primary Care Past Accepting new patients
Lba Medical Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1619973344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373026",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007373026",
            "telephone_number": "787-263-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 1 KM 58.9",
            "address_2": "BO QUEBRADA ARRIBA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-5752",
            "fax_number": "787-263-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA MARRA",
        "first_name": "SONIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.