Juan Carlos Marrero Gratacos

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D2464 Issued in PR

Practice address

1326 Ste 107
El Senorial PLZ
Ponce, PR 00717-1686

Phone

(787) 812-1010

Fax

(787) 675-4596

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bright Smiles Dental Services DMD LLC

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1154093904

  General Practice

  NPD (past)
• Servicios Dentales DDS, LLC

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1700558541

  General Practice

  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831224294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1326 STE 107",
            "address_2": "EL SENORIAL PLAZA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-812-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 STE 107",
            "address_2": "EL SENORIAL PLZ",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171686",
            "telephone_number": "787-812-1010",
            "fax_number": "787-675-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO GRATACOS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D2464",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "M662-423-73-146-0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831224294",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Marquez
• Aixa A Marrero Aguayo, MSW
• Wildalys Victoria Marrero Aguayo
• Stephanie Marie Marrero Borrero, MD
• Gigliola Marrero Cristobal
• Belinda Marrero Pabon
• Natasha Mariangely Marrero Rodriguez, PSY.D
• Elianis Marrero Roman
• Cynthia L. Marrero Sepulveda
• Ambar Melien Marrero Sierra

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.