SMM Healthcare Provider LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SMM HEALTHCARE PROVIDER LLC

Practice address

1507 Ave Ponce de Leon
San Juan, PR 00909-1750

Phone

(939) 475-1414

Fax

(939) 475-1422

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sylmarie Marrero Martinez, MDNPI 1245475938

Title

Sole Proprietor

Phone

(787) 412-0002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylmarie M Marrero Martinez, MD

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1245475938
  Medicare reassignment NPD Authorized official
• Pedro A. Torrellas Ruiz, M.D.

  • Pulmonary Disease Physician
  • Humacao, PR
  • NPI 1013168616

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1821778689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920215",
            "telephone_number": "787-412-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091750",
            "telephone_number": "939-475-1414",
            "fax_number": "939-475-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMM HEALTHCARE PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "MARRERO MARTINEZ",
        "authorized_official_first_name": "SYLMARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "787-412-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.