Individual provider Active NPI

Amanda Paola Marrero Gonzalez, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1780085092
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22257 Issued in PR
Practice address
1462 Profesor Augusto Rodriguez St.
San Juan, PR 00909
Phone
(787) 625-1446
NPI assigned
Sep 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D90509 MD
Diagnostic Radiology Physician 2085R0202X 22257 PR Primary

Addresses

Primary practice location

1462 Profesor Augusto Rodriguez St.
San Juan, PR 00909

Mailing address

PO Box 19120
San Juan, PR 00910-1120
Phone (787) 625-1446

Other identifiers 2

IdentifierTypeStateIssuer
012072154MedicaidDC
225294500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210510000082 MD Practitioner - Diagnostic Radiology 1951710698
I20210510000185 DC Practitioner - Diagnostic Radiology 1951710698 Reassigns benefits to 1 organization
I20221021002341 PR Practitioner - Diagnostic Radiology 1951710698 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and P Radiologos, LLCGroup PAC ID 1254397094, 21 clinicians
San Patricio MRI and CT Center, P.S.C.Group PAC ID 9436251808, 6 clinicians
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

1462 Calle Profesor Augusto Rodriguez
San Juan, PR 00910-1137
Phone (787) 641-1616

280 Ave Marginal Kennedy
Guaynabo, PR 00968-1746
Phone (787) 620-5772

Asem
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.05 of 100Reported as group
Quality
16.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D90509MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto J Sein & Rafael M Rivera PTR Diagnostic Radiology CurrentSince Dec 24, 2025 Accepting new patients
MMD Breast Imaging PSC Diagnostic Radiology CurrentSince Jan 28, 2024 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
San Patricio MRI & CT Center, P.S.C. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2023 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology CurrentSince Sep 6, 2022 Accepting new patients
Oncology & Body Imaging PSC Diagnostic Radiology CurrentSince Nov 3, 2022 Accepting new patients

Locations

280 Ave Marginal Kennedy
Guaynabo, PR 00968
Phone (787) 620-5757

BO Monacillos
San Juan, PR 00935

435 Ave Ponce de Leon
San Juan, PR 00917
Phone (787) 616-3459

Asem
San Juan, PR 00935

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1780085092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19120",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101120",
            "telephone_number": "787-625-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 PROFESOR AUGUSTO RODRIGUEZ ST.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-625-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO GONZALEZ",
        "first_name": "AMANDA",
        "middle_name": "PAOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D90509",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "22257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012072154",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225294500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.