Individual provider Active NPI

Maria Del Carmen Marrero Mendez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Arecibo, PR
National Provider Identifier
1659758324
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19896 Issued in PR
Practice address
11 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone
(787) 568-3573
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 19896 PR Primary

Addresses

Primary practice location

11 Calle Ana Lens de Susoni
Arecibo, PR 00612

Mailing address

PO Box 141591
Arecibo, PR 00614-1591
Phone (787) 568-3573

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
I20200309001387 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 5698103570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Calle Ana Lens de Susoni
Arecibo, PR 00612-4304
Phone (787) 568-3573

V1 Calle
Suite 16
Arecibo, PR 00612-3112
Phone (787) 879-1585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19896PRMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Clinical Services LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2020 Accepting new patients
Marrero Endocrinology and Metabolism LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 15, 2021 Accepting new patients

Locations

11 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone (787) 568-3573

V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144

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, 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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1659758324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141591",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141591",
            "telephone_number": "787-568-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE ANA LENS DE SUSONI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-568-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO MENDEZ",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.