Individual provider Active NPI

Jesus M. Marin, M.D.

  • Emergency Medicine Physician
  • Bayamon, PR
National Provider Identifier
1831277995
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7996 Issued in PR
Practice address
Avenida Laurel #100 Santa Juanita
University Hospital Dr. Ramon Ruiz Arnau
Bayamon, PR 00956
Phone
(787) 787-5151
Fax
(787) 787-8484
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7996 PR Primary

Addresses

Primary practice location

Avenida Laurel #100 Santa Juanita
University Hospital Dr. Ramon Ruiz Arnau
Bayamon, PR 00956

Mailing address

PO Box 363589
San Juan, PR 00936-3589
Phone (787) 448-5763

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
I20100622000719 PR Practitioner - Emergency MedicinePractitioner - General Practice 3779614557 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7996PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Varmed Health Center LLC Current Accepting new patients
Varmed Health Center LLC CurrentSince Apr 24, 2023 Accepting new patients
Varmed Health Center LLC CurrentSince Apr 24, 2023 Accepting new patients
Emergency Practice Management Group,PSC Past Accepting new patients
Recinto de Ciencias Medicas Emergency Medicine Past Accepting new patients
Caribbean Emergency Physicians Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1831277995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363589",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363589",
            "telephone_number": "787-448-5763",
            "fax_number": "787-787-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LAUREL #100 SANTA JUANITA",
            "address_2": "UNIVERSITY HOSPITAL DR. RAMON RUIZ ARNAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-787-5151",
            "fax_number": "787-787-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JESUS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "7996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.