Individual provider Active NPI

Jessica C. Marrero-Rolon, M.D.

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1982965240
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18189 Issued in PR
Practice address
B 23 Calle 3 Urbanizacion Flamboyan
Manati, PR 00674
Phone
(787) 855-4011
Fax
(787) 855-4014
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 18189 PR Primary

Addresses

Primary practice location

B 23 Calle 3 Urbanizacion Flamboyan
Manati, PR 00674

Mailing address

Manati Medical Center, Departamento Medicina de Familia
P.O. Box 1142
Manati, PR 00674-1142
Phone (787) 621-3700

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
I20170309001774 PR Practitioner - Family Practice 0345524427 Practice locations: Manati, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18189PRMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Family Medical Center LLC Past Accepting new patients

Organizations & group practices 1

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1982965240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER, DEPARTAMENTO MEDICINA DE FAMILIA",
            "address_2": "P.O. BOX 1142",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741142",
            "telephone_number": "787-621-3700",
            "fax_number": "787-855-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B 23 CALLE 3 URBANIZACION FLAMBOYAN",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-855-4011",
            "fax_number": "787-855-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO-ROLON",
        "first_name": "JESSICA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "18189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.