Individual provider Active NPI

Maricely Xiomary Gonzalez Marrero, NURSE

  • Registered Nurse
  • Caguas, PR
National Provider Identifier
1689028706
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
34301 Issued in PR
Practice address
B-5 Ave Gautier Benitez Anexo
Consolidated Mall
Caguas, PR 00725
Phone
(939) 242-7726
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 34301 PR Primary

Addresses

Primary practice location

B-5 Ave Gautier Benitez Anexo
Consolidated Mall
Caguas, PR 00725

Mailing address

PO Box 147
Villalba, PR 00766-0147
Phone (787) 709-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34301PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1689028706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007660147",
            "telephone_number": "787-709-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B-5 AVE GAUTIER BENITEZ ANEXO",
            "address_2": "CONSOLIDATED MALL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-242-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MARRERO",
        "first_name": "MARICELY",
        "middle_name": "XIOMARY",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "34301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.