Active NPI
Marcos Antonio Correa, M.D.
- Case Manager/Care Coordinator
- San Juan, PR
National Provider Identifier
1699466573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 000370-P.A.
- Practice address
- United States Coast Guard 5 C. la Puntilla
San Juan, PR 00703 - Phone
- (787) 628-1662
- NPI assigned
- May 19, 2023
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 000370-P.A. | PR | Primary |
Addresses
Primary practice location
United States Coast Guard 5 C. la Puntilla
San Juan, PR 00703
Mailing address
United States Coast Guard 5 C. la Puntilla
San Juan, PR 00703
Phone (787) 628-1662
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000370-P.A. | PR | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1699466573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNITED STATES COAST GUARD 5 C. LA PUNTILLA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00703",
"telephone_number": "787-628-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNITED STATES COAST GUARD 5 C. LA PUNTILLA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00703",
"telephone_number": "787-628-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "MARCOS",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "PR",
"license": "000370-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.