Individual provider Active NPI

Marco Antonio Corchado Barreto, M.D.

  • Adult Medicine Physician
  • Isabela, PR
National Provider Identifier
1750376406
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
12847 Issued in PR
Practice address
7260 Ave Agustin Ramos Calero
Isabela, PR 00662-3592
Phone
(787) 872-8313
Fax
(787) 872-8313
NPI assigned
Sep 19, 2005
Last updated
Jun 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 12847 PR Primary

Addresses

Primary practice location

7260 Ave Agustin Ramos Calero
Isabela, PR 00662-3592

Mailing address

PO Box 1039
Isabela, PR 00662-1039
Phone (787) 872-8313

Other identifiers 7

IdentifierTypeStateIssuer
100100WOtherPRMMM HEALTHCARE, INC
200332OtherPRPREFERRED HEALTH
9003753OtherPRLA CRUZ AZUL DE PR
6620108OtherPRHUMANA HEALTH PLANS OF PR
115-12847OtherPRGLOBAL HEALTH PLAN
20792COOtherPRTRIPLE S, INC.
PE-4617OtherPRPANAMERICAN LIFE INS COMP

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
I20101228000825 PR Practitioner - Family Practice 0042408551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Agustin Ramos Calero
Suite 7260
Isabela, PR 00662
Phone (787) 872-8313

PO Box
Suite 1039
Isabela, PR 00662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12847PRMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Management Consulting Group Corp Family Medicine CurrentSince Sep 5, 2024 Accepting new patients
Marliz Medical LLC Family Medicine CurrentSince Aug 24, 2021 Accepting new patients

Locations

7260 Ave Sfc Agustin Ramos Calero
Isabela, PR 00662
Phone (787) 872-8313

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1750376406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621039",
            "telephone_number": "787-872-8313",
            "fax_number": "787-872-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 AVE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623592",
            "telephone_number": "787-872-8313",
            "fax_number": "787-872-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCHADO BARRETO",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "12847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE, INC",
            "identifier": "100100W",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "200332",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "9003753",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS OF PR",
            "identifier": "6620108",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH PLAN",
            "identifier": "115-12847",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, INC.",
            "identifier": "20792CO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PANAMERICAN LIFE INS COMP",
            "identifier": "PE-4617",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.