Individual provider Active NPI

Juan A Nevarez Marrero, M.D.

  • Ophthalmology Physician
  • Guaynabo, PR
National Provider Identifier
1790769602
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7386 Issued in PR
Practice address
19 Calle Fray Angelico
Bosque de Los Frailes
Guaynabo, PR 00969-6101
Phone
(787) 287-1554
Fax
(787) 187-1769
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1699 Calle Parana
San Juan, PR 00926-3143
Phone (787) 751-2395

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery135

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090505000476 PR Practitioner - Ophthalmology 6103974902 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Ophthalmology Current
since Jun 28, 1985
Accepting new patients
Recinto de Ciencias Medicas Current
since Jun 28, 1985
Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

Interoperability endpoints

  • Direct secure messaging: jnevarezmd@drnevarez.direct.eyemdemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7386 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

19 Calle Fray Angelico
Bosque de Los Frailes
Guaynabo, PR 00969-6101

Mailing address

1699 Calle Parana
Rio Piedras Heights
San Juan, PR 00926-3143
Phone (787) 751-2395

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2009.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1790769602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 CALLE PARANA",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263143",
            "telephone_number": "787-751-2395",
            "fax_number": "787-751-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE FRAY ANGELICO",
            "address_2": "BOSQUE DE LOS FRAILES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696101",
            "telephone_number": "787-287-1554",
            "fax_number": "787-187-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ MARRERO",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "7386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.