Individual provider Active NPI

Juan Marrero Hernandez

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1841946142
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA121507 Issued in FL
Practice address
3113 Lawton Rd Ste 100
Orlando, FL 32803-3519
Phone
(321) 842-4964
Fax
(321) 203-4657
NPI assigned
Feb 24, 2022
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA121507 FL Primary
Physician Assistant 363A00000X PA8659 MA

Addresses

Primary practice location

3113 Lawton Rd Ste 100
Orlando, FL 32803-3519

Mailing address

3113 Lawton Rd Ste 100
Orlando, FL 32803-3519
Phone (321) 842-4964

Other practice location 1

260 Tremont St.
Biewend Building 2nd Floor
Boston, MA 02111
Phone (617) 636-5689

Other practice location 2

480 Maple St
Danvers, MA 01923-4065
Phone (781) 744-8771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220413000693 MA Practitioner - Physician Assistant 0345636676 Reassigns benefits to 2 organizations
I20260406001713 FL Practitioner - Physician Assistant 0345636676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

3113 Lawton Rd
Suite 100
Orlando, FL 32803-3519
Phone (321) 841-0000

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA8659MAMDPhysician Assistant
PA121507FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Pratt Medical Group, Inc CurrentSince Apr 18, 2022 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8085

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1841946142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 LAWTON RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033519",
            "telephone_number": "321-842-4964",
            "fax_number": "321-203-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 LAWTON RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033519",
            "telephone_number": "321-842-4964",
            "fax_number": "321-203-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Tremont St.",
            "address_2": "Biewend Building 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02111",
            "country_code": "US",
            "telephone_number": "617-636-5689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Maple St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019234065",
            "country_code": "US",
            "telephone_number": "781-744-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO HERNANDEZ",
        "first_name": "JUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA121507",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.