NPIMap

Organization Active NPI

Clinica Dr Marrero LLC

  • Clinical Psychologist
  • Villalba, PR
National Provider Identifier
1770050247
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICA DR MARRERO LLC
Practice address
16 Calle Munoz Rivera
Villalba, PR 00766-3029
Phone
(787) 847-4270
Fax
(787) 847-3057
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Dr. Roberto Carlos Marrero Gratacos
Title
Clinical Psychologist
Phone
(787) 847-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

16 Calle Munoz Rivera
Villalba, PR 00766-3029

Mailing address

PO Box 43
Villalba, PR 00766-0043
Phone (787) 847-4270

National Provider Directory

National Provider Directory

Locations

16 Calle Munoz Rivera
Villalba, PR 00766
Phone (787) 847-0901

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1770050247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007660043",
            "telephone_number": "787-847-4270",
            "fax_number": "787-847-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE MUNOZ RIVERA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007663029",
            "telephone_number": "787-847-4270",
            "fax_number": "787-847-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DR MARRERO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "MARRERO GRATACOS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-847-4270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.