Ian Carlos Marrero Amadeo, MD

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

14487 Issued in PR

Practice address

310 Ave Lomas Verdes
Suite 202
San Juan, PR 00927-6638

Phone

(787) 272-5000

Fax

(787) 272-5010

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

University of Puerto Rico School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ian C. Marrero-Amadeo MD, LLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • San Juan, PR
  • NPI 1558786988
  Medicare reassignment NPD Authorized official
• Derik I. Marrero Amadeo M.D., LLC

  • Plastic Surgery Physician
  • San Juan, PR
  • NPI 1851714497
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1952426413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AVE LOMAS VERDES",
            "address_2": "SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276638",
            "telephone_number": "787-272-5000",
            "fax_number": "787-272-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AVE LOMAS VERDES",
            "address_2": "SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276638",
            "telephone_number": "787-272-5000",
            "fax_number": "787-272-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO AMADEO",
        "first_name": "IAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "14487",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "PR",
            "license": "14487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvador Marquez, MD
• Virginia Ortiz Marquez
• Andre Marra Nazario
• Miguel A. Marrero - Rivera, M.D.
• Luis Marrero Abascal, MD
• Carlos Marrero Arroyo, M.D.
• Ricardo Javier Marrero Barrera, MD
• Victor Miguel Marrero Bernardo, MD
• Rosa Maria Marrero Fernandez, MD
• Amanda Paola Marrero Gonzalez, MD

• Surgery of the Hand (Plastic Surgery) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.