Lourdes M Tirado Marrero, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

16679 Issued in PR

Practice address

132 Villas de la Fuente
Bayamon, PR 00959-8714

Phone

(787) 366-5663

NPI assigned

Apr 10, 2007

Sex

Female

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1982827036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 VILLAS DE LA FUENTE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598714",
            "telephone_number": "787-366-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO MARRERO",
        "first_name": "LOURDES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16,679",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "16679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Palms Interventional Pain Clinic, PSC
• Therapy Kiddos 4 You
• Third Molar Inc
• Jacqueline J Thomas, ATOL
• Hector Antonio Tirado Davila Sr., MD
• Maria De Los a Tirado Otero, MD
• Ninoshka Tirado Perez, DC
• Edgardo Javier Tirado
• Keishla M Tirado
• Marienid Tirado, DPT

• Hospitalist Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Hospitalist Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.

Verify at the official NPI Registry.