NPIMap

Individual provider Active NPI

Carlos I Llorens-Marin, M.D.

  • Pediatric Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1871875260
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
19366 Issued in PR
Practice address
4401 Penn Ave
2ND Floor Radiology CHP
Pittsburgh, PA 15224
Phone
(412) 692-5032
NPI assigned
Sep 13, 2011
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X MT210198 PA
Pediatric Radiology Physician 2085P0229X 19366 PR Primary
Diagnostic Radiology Physician 2085R0202X 19366 PR
Vascular & Interventional Radiology Physician 2085R0204X 19366 PR

Addresses

Primary practice location

4401 Penn Ave
2ND Floor Radiology CHP
Pittsburgh, PA 15224

Mailing address

Radiologia RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 474-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501002812 PR Practitioner - Diagnostic Radiology 4587938170 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

65 Infanteria Ave
Carr 3 KM 8.3
Carolina, PR 00984
Phone (787) 757-6420

Asem
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT210198PAMDPediatric Radiology Physician
19366PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Sep 3, 2018 Accepting new patients
Advance Digital Image, Corp Diagnostic Radiology CurrentSince Apr 17, 2019 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 3, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 3, 2018 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Sep 3, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 3, 2018 Accepting new patients
Mediko Imaging Inc. Diagnostic Radiology CurrentSince Mar 17, 2018 Accepting new patients
Aguada Medical Center Care Club PastSince May 29, 2019 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Asem
San Juan, PR 00935

Organizations & group practices 8

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 3

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1871875260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RADIOLOGIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-474-0333",
            "fax_number": "787-777-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE",
            "address_2": "2ND FLOOR RADIOLOGY CHP",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLORENS-MARIN",
        "first_name": "CARLOS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PA",
            "license": "MT210198",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PR",
            "license": "19366",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "19366",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "19366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.