Edgar Marrero

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

512 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1943

Phone

(772) 873-8811

NPI assigned

Dec 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Legacy Behavioral Health Center

  • Case Management Agency
  • Belle Glade, FL
  • NPI 1134465610
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1730457029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SW CURTIS ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833050",
            "telephone_number": "772-342-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531943",
            "telephone_number": "772-873-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "EDGAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Christopher Roberts DC LLC
• Mark J Powers MD PA Florida Orthopaedic Specialists
• Mary Stacie Markham, PHARMD
• McKenna Marocco
• Holly Marie Marple, CNP
• Ingrid Debbieann Marsden
• Jeanine C Marshall
• Rebecca Lynne Marshall
• Martin L Lesin DC PA
• Martin L. Lesin, DC PA

• Case Manager/Care Coordinator in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.