Individual provider Active NPI

Marcial A. Walker, M.D.

  • Urology Physician
  • Caguas, PR
National Provider Identifier
1811959158
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
12551 Issued in PR
Practice address
Consolidated Mall , Gautier Benitez Ave.
Suite C20-a
Caguas, PR 00725
Phone
(787) 704-4141
Fax
(787) 704-4144
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 12551 PR Primary

Addresses

Primary practice location

Consolidated Mall , Gautier Benitez Ave.
Suite C20-a
Caguas, PR 00725

Mailing address

PO Box 6539
Caguas, PR 00726-6539
Phone (787) 704-4141

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000520 PR Practitioner - Urology 4284893470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Ave Degetau
Suite 715
Caguas, PR 00725-7312
Phone (787) 704-4141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Urologia Reconstructiva Urology CurrentSince Aug 31, 2011 Accepting new patients

Locations

500 Ave Degetau
Ste 715
Caguas, PR 00725
Phone (787) 704-4141

Interoperability endpoints

  • Direct secure messaging: marcial.walker@1487.chartlogic.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1811959158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6539",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266539",
            "telephone_number": "787-704-4141",
            "fax_number": "787-704-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL , GAUTIER BENITEZ AVE.",
            "address_2": "SUITE C20-A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-4141",
            "fax_number": "787-704-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARCIAL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "12551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.