Individual provider Active NPI

Gilberto Javier Marrero, PSYD

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1861261067
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7822 Issued in PR
Practice address
37 Calle Regina Medina # C203
Guaynabo, PR 00969-6001
Phone
(787) 690-2988
NPI assigned
Dec 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7822 PR Primary

Addresses

Primary practice location

37 Calle Regina Medina # C203
Guaynabo, PR 00969-6001

Mailing address

37 Calle Regina Medina # C203
Guaynabo, PR 00969-6001
Phone (787) 690-2988

Other practice location 1

Cupey Professional Mall, 359 CSan Claudio
Suite 202
San Juan, PR 00926
Phone (787) 690-2988

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116004043 PR Practitioner - Clinical Psychologist 4284162355 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7822PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Clinical CurrentSince Nov 14, 2024 Accepting new patients

Locations

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

Organizations & group practices 1

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": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1861261067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CALLE REGINA MEDINA # C203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696001",
            "telephone_number": "787-690-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE REGINA MEDINA # C203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696001",
            "telephone_number": "787-690-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cupey Professional Mall, 359 CSan Claudio",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-690-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "GILBERTO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.