Active NPI
Amanda Paola Marrero Gonzalez, MD
- Diagnostic Radiology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22257
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012072154 | Medicaid | DC | |
| 225294500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 16.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D90509 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto J Sein & Rafael M Rivera PTR | Diagnostic Radiology | Current | Accepting new patients |
| MMD Breast Imaging PSC | Diagnostic Radiology | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Diagnostic Radiology | Current | Accepting new patients |
| San Patricio MRI & CT Center, P.S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| M & P Radiologos, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Oncology & Body Imaging PSC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- San Juan, PR
- NPI 1720166325
-
- Radiology Clinic/Center
- Guaynabo, PR
- NPI 1326012675
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Bayamon, PR
- NPI 1528776408
-
- Diagnostic Radiology Physician
- San Juan, PR
- NPI 1699309161
-
- Mammography Clinic/Center
- Rio Piedras, PR
- NPI 1336202753
Diagnostic Radiology
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
DC
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rio Piedras, PR
- NPI 1407859036
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
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
- Ian Carlos Marrero Amadeo, MD
- Carlos Marrero Arroyo, M.D.
- Ricardo Javier Marrero Barrera, MD
- Victor Miguel Marrero Bernardo, MD
- Rosa Maria Marrero Fernandez, MD
- Sylmarie M Marrero Martinez, MD
- Lisandra Marrero Montes, MS SLP
- William Omar Marrero Ortiz, MD
- Valerie Rose Marrero Perea, MD
- Heidy Norel Marrero Perez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.