Active NPI
Marco Antonio Corchado Barreto, M.D.
- Adult Medicine Physician
- Isabela, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 12847
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100100W | Other | PR | MMM HEALTHCARE, INC |
| 200332 | Other | PR | PREFERRED HEALTH |
| 9003753 | Other | PR | LA CRUZ AZUL DE PR |
| 6620108 | Other | PR | HUMANA HEALTH PLANS OF PR |
| 115-12847 | Other | PR | GLOBAL HEALTH PLAN |
| 20792CO | Other | PR | TRIPLE S, INC. |
| PE-4617 | Other | PR | PANAMERICAN 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12847 | PR | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health and Management Consulting Group Corp | Family Medicine | Current | Accepting new patients |
| Marliz Medical LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Isobela, PR
- NPI 1700548120
-
dba Horizon
- Health Maintenance Organization
- Bayamon, PR
- NPI 1619504578
Family Medicine
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
- Clinica Terapeutica Estrellas En Crecimiento LLC
- Alondra Colon Conti
- Kathia J. Colon-Gonzalez, MSW
- Wignelia Colon
- Coop Consumidores Noroeste Inc (Farmacia Coop Isabela)
- Amarilis Corchado Perez, MD
- Jose Angel Corchado Perez, DC
- Juan Manuel Corchado, M.D.
- Aileen M Cordero Soto, MD
- Yaribette Cordero-Vargas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.