Individual provider Active NPI

Carmen Milagros Marrero, MD

  • Geriatric Medicine (Family Medicine) Physician
  • San Juan, PR
National Provider Identifier
1992787048
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
9548 Issued in PR
Practice address
488 Carr 845
Urb Purple Tree
San Juan, PR 00926-4403
Phone
(787) 761-1945
Fax
(787) 761-1947
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9548 PR
Geriatric Medicine (Family Medicine) Physician 207QG0300X 9548 PR Primary

Addresses

Primary practice location

488 Carr 845
Urb Purple Tree
San Juan, PR 00926-4403

Mailing address

488 Carr 845
Urb Purple Tree
San Juan, PR 00926-4403
Phone (787) 761-1945

Other identifiers 19

IdentifierTypeStateIssuer
069435OtherPRCRUZ AZUL
660563176OtherPRUNITED HEALTH CARE
660563176OtherPRPALIC
81953OtherPRTRIPLE S (SSS)
660563176OtherPRCOSVI
660563176OtherPRSALUD DORADO CON MEDICARE
81953OtherPRMEDICARE OPTIMO
20085OtherPRPREFERRED HEALTH (UTI)
660563176OtherPRMAPFRE L.
660563176OtherPROPTION HEALTH CARE
660563176OtherPRMEDICAL CARD SYSTEM (MCS)
660563176OtherPRMCS CLASSICARE
660563176OtherPRFIRST PLUS
9280057OtherPRHUMANA HEALTH PLANS
500168EOtherPRMEDICARE Y MUCHO MAS (MMM
660563176OtherPRAUXILIO PLATINO
9280057OtherPRHUMANA INSURANCE OF PR
2758OtherPRPREFERRED MEDICARE CHOICE
4214OtherPRINTERNATIONAL MEDICAL CAR

Other names 1

  • Ms. Carmen Milagros Marrero Professional name

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
I20040909000871 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 7810963816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

488 Carr
Suite 845
San Juan, PR 00926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9548PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Servicios Geriatrico Family Medicine Current Accepting new patients
Dra Carmen M Marrero PSC Family Medicine CurrentSince Dec 22, 1992 Accepting new patients
M&V Medical LLC Geriatric Medicine Current Accepting new patients

Locations

488 Carr 845
San Juan, PR 00926
Phone (787) 761-1943

Organizations & group practices 3

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1992787048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 CARR 845",
            "address_2": "URB PURPLE TREE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264403",
            "telephone_number": "787-761-1945",
            "fax_number": "787-761-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 CARR 845",
            "address_2": "URB PURPLE TREE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264403",
            "telephone_number": "787-761-1945",
            "fax_number": "787-761-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "CARMEN",
        "middle_name": "MILAGROS",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9548",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "9548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "069435",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S (SSS)",
            "identifier": "81953",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SALUD DORADO CON MEDICARE",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO",
            "identifier": "81953",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH (UTI)",
            "identifier": "20085",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE L.",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION HEALTH CARE",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM (MCS)",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS CLASSICARE",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS",
            "identifier": "9280057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS (MMM",
            "identifier": "500168E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUXILIO PLATINO",
            "identifier": "660563176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE OF PR",
            "identifier": "9280057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2758",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "4214",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MARRERO",
            "middle_name": "MILAGROS",
            "prefix": "MS.",
            "credential": "PSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.