Edgardo Marrero Perez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14367 Issued in PR

Practice address

Avenida Munoz Rivera # 63
Camuy, PR 00627

Phone

(787) 897-4713

Fax

(787) 262-1210

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• San Jose Primary Medicine Inc

  • Primary Care Clinic/Center
  • Camuy, PR
  • NPI 1124417464
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1821102708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690609",
            "telephone_number": "787-897-4713",
            "fax_number": "787-262-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA MUNOZ RIVERA # 63",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-897-4713",
            "fax_number": "787-262-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO PEREZ",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virmary Maldonado Arroyo, MSW
• Juan R Marin Espiet
• Mario Chabrier Perez Mario Chabrier Perez MD
• Marla's Medical Equipment, Corp.
• Raquel Marrero Alfonzo, MS PHL
• Yonaira Marrero, RPT
• Jenismarie Martinez Caban, MSW
• Editzel Marie Martinez Soberal, RDN, LND
• Giancarlo Martinez Tellado, MD
• Maria Martinez, PHARMACIST

• General Practice Physician in Camuy, PR
• Providers in Camuy, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.