Individual provider Active NPI

Anna Maria Di Marco, M.D.

  • Hematology & Oncology Physician
  • Ponce, PR
National Provider Identifier
1992981690
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16950 Issued in PR
Practice address
609 Ave Tito Castro Ste 102
PMB 359
Ponce, PR 00716-0200
Phone
(787) 548-8412
NPI assigned
Jan 14, 2008
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16950 PR
Hematology & Oncology Physician 207RH0003X 16950 PR Primary

Addresses

Primary practice location

609 Ave Tito Castro Ste 102
PMB 359
Ponce, PR 00716-0200

Mailing address

609 Ave Tito Castro Ste 102
PMB 359
Ponce, PR 00716-0200
Phone (787) 548-8412

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
I20130701000532 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8628218369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1378 Calle Salud
Ponce, PR 00717-2004
Phone (787) 813-3552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16950PRMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Oncologico de la Mujer de Puerto Rico CSP CurrentSince Jan 27, 2014 Accepting new patients
Caribbean Wellness Oncology, PSC Hematology & Oncology Past Accepting new patients

Locations

609 Ave Tito Castro
Ste 102
Ponce, PR 00716
Phone (787) 259-3316

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1992981690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO STE 102",
            "address_2": "PMB 359",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-548-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO STE 102",
            "address_2": "PMB 359",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-548-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI MARCO",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "16950",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "16950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.