Active NPI
Julio Armando Marrero-Guadalupe, MD
- Family Medicine Physician
- Cidra, PR
National Provider Identifier
1922093368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12356
- Practice address
- Ave. El Jibaro
Carr. 172 KM. 13.5 Bo. Bayamon
Cidra, PR 00739-1330 - Phone
- (787) 739-8182
- Fax
- (787) 739-8190
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12356 | PR | Primary |
Addresses
Primary practice location
Ave. El Jibaro
Carr. 172 KM. 13.5 Bo. Bayamon
Cidra, PR 00739-1330
Mailing address
PO Box 32
Caguas, PR 00726-0032
Phone (787) 502-3492
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12356 | Other | PR | STATE LICENCE |
| DM12065 | Other | PR | STATE NARCOTICS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12356 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cossma Inc | Current | Accepting new patients | |
| Cossma, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Cidra, PR
- NPI 1437235793
-
- Clinical Medical Laboratory
- Humacao, PR
- NPI 1407408347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922093368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007260032",
"telephone_number": "787-502-3492",
"fax_number": "787-739-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. EL JIBARO",
"address_2": "CARR. 172 KM. 13.5 BO. BAYAMON",
"city": "CIDRA",
"state": "PR",
"postal_code": "007391330",
"telephone_number": "787-739-8182",
"fax_number": "787-739-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO-GUADALUPE",
"first_name": "JULIO ARMANDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "12356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "12356",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NARCOTICS",
"identifier": "DM12065",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.