Individual provider Active NPI

Julio Armando Marrero-Guadalupe, MD

  • Family Medicine Physician
  • Cidra, PR
National Provider Identifier
1922093368
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12356 Issued in PR
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12356OtherPRSTATE LICENCE
DM12065OtherPRSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811001050 PR Practitioner - Family Practice 2365576410 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12356PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma Inc CurrentSince Mar 20, 1990 Accepting new patients
Cossma, Inc. CurrentSince Mar 20, 1990 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.

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

Verify at the official NPI Registry.