Individual provider Active NPI

Carlos Ernesto Marin Cortes

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1871211292
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022928 Issued in PR
Practice address
Urbanizacion Rio Canas
Calle Mississippi 2715 Apt #2
Ponce, PR 00728
Phone
(910) 337-6855
NPI assigned
Aug 22, 2022
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022928 PR Primary

Addresses

Primary practice location

Urbanizacion Rio Canas
Calle Mississippi 2715 Apt #2
Ponce, PR 00728

Mailing address

Urbanizacion Rio Canas
Calle Mississippi 2715 Apt #2
Ponce, PR 00728
Phone (910) 337-5855

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
I20221114002221 PR Practitioner - General Practice 6800264391 Reassigns benefits to 5 organizations
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22928PRMDSocial Worker
022928PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Carlos E Marin Cortes MD LLC General Practice CurrentSince Dec 28, 2025 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1871211292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION RIO CANAS",
            "address_2": "CALLE MISSISSIPPI 2715 APT #2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "910-337-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION RIO CANAS",
            "address_2": "CALLE MISSISSIPPI 2715 APT #2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "910-337-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN CORTES",
        "first_name": "CARLOS",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.