Active NPI
Loreiny Mariel Marrero Colon, DMD
- Dentist
- Vega Alta, PR
National Provider Identifier
1952056533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3433
- Practice address
- Centro Gran Caribe Suite 208
Carr #2 KM 29.7
Vega Alta, PR 00692 - Phone
- (787) 883-6560
- NPI assigned
- Feb 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Dentist | 122300000X | 3433 | PR | Primary |
Addresses
Primary practice location
Centro Gran Caribe Suite 208
Carr #2 KM 29.7
Vega Alta, PR 00692
Mailing address
474 Calle de Diego Apt 1
San Juan, PR 00923-3134
Phone (939) 254-7909
Other practice location 1
10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 32605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6501442 | Other | PR | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3433 | PR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marrero-Santiago Group LLC | General Practice | Current | Accepting new patients |
| Dental Torres PSC | Dentist | Past | 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.
-
- General Practice Dentistry
- Morovis, PR
- NPI 1316882764
-
- Dentist
- Morovis, PR
- NPI 1538595020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1952056533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 CALLE DE DIEGO APT 1",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233134",
"telephone_number": "939-254-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO GRAN CARIBE SUITE 208",
"address_2": "CARR #2 KM 29.7",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-883-6560"
}
],
"practiceLocations": [
{
"address_1": "10 Calle Casia",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009213200",
"country_code": "US",
"telephone_number": "787-641-7582 x32605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARRERO COLON",
"first_name": "LOREINY",
"middle_name": "MARIEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "3433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "6501442",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.