Individual provider Active NPI

Luz Nereida Marrero Maldonado, MD

  • Internal Medicine Physician
  • Vega Alta, PR
National Provider Identifier
1952374506
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8044 Issued in PR
Practice address
2 Carr KM 30.4 Suite 101
Vega Alta Professional Center
Vega Alta, PR 00692
Phone
(787) 270-4518
Fax
(787) 270-4993
NPI assigned
Feb 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8044 PR Primary

Addresses

Primary practice location

2 Carr KM 30.4 Suite 101
Vega Alta Professional Center
Vega Alta, PR 00692

Mailing address

Calle 3 K 48
Urb Valparaiso
Toa Baja, PR 00949
Phone (787) 795-9595

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
I20120106000656 PR Practitioner - Internal Medicine 4385810696 Practice locations: Vega Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Vega Alta Professional Ctr
Carr 2 KM 30.4 Suite 101
Vega Alta, PR 00692
Phone (787) 270-4518

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952374506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 3 K 48",
            "address_2": "URB VALPARAISO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARR KM 30.4 SUITE 101",
            "address_2": "VEGA ALTA PROFESSIONAL CENTER",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-4518",
            "fax_number": "787-270-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO MALDONADO",
        "first_name": "LUZ",
        "middle_name": "NEREIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.