Individual provider Active NPI

Orlando Javier Marchena Nieves Jr., MD

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1821364779
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
018376 Issued in PR
Practice address
Calle la Cruz # 3
Suite 1
Juana Diaz, PR 00795
Phone
(787) 837-0002
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 018376 PR Primary

Addresses

Primary practice location

Calle la Cruz # 3
Suite 1
Juana Diaz, PR 00795

Mailing address

609 Ave Tito Castro
Suite 102 PMB 353
Ponce, PR 00716-0200
Phone (787) 509-7744

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
I20130718000547 PR Practitioner - General Practice 4486895307 Reassigns benefits to 2 organizations
Practice locations: Vega Alta, PR; Juana Diaz, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018376PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. Current Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Morovis Community Health Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Morovis Community Health Center, Inc. Current Accepting new patients
Vega Alta Community Health Past Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1821364779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PMB 353",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-509-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LA CRUZ # 3",
            "address_2": "SUITE 1",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-837-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHENA NIEVES",
        "first_name": "ORLANDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.