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DR. LUISA VANESSA MARCIAL M.D.
NPI 1326181462
Radiology - Radiation Oncology in Bayamon, PR

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
80.15/100
CMS Quality Rating
EXT. HNAS DAVILA MARGINAL CARR. PR #2, EDIFICIO 1955 SUITE G-1, BAYAMON, PR 00959(787) 966-7500(787) 966-7505 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Luisa Vanessa Marcial M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUISA VANESSA MARCIAL M.D. (NPI 1326181462) is an individual radiation oncology provider in Bayamon, Puerto Rico, licensed in Puerto Rico (8281) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1982).

NPPES Registry Identity

NPI1326181462
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameDR. LUISA VANESSA MARCIALCredential: M.D.
Location AddressEXT. HNAS DAVILA MARGINAL CARR. PR #2, EDIFICIO 1955 SUITE G-1Bayamon, PR 00959
Mailing AddressPo Box 1589Bayamon, PR 00960-1589 · (787) 966-7500 · Fax (787) 966-7505
Phone(787) 966-7500
Fax(787) 966-7505
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1982
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 12, 2015
✔ NPI 1326181462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in PR · 8281
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Other Identifiers 1

Medicare PINEQ590ZPR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luisa Vanessa Marcial M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496726846
PECOS Enrollment IDI20040802000400
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Luisa Marcial reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caribbean Imaging And Radiation Treatment Center,inc
Multi-Specialty
PONCE BY PASS, SUIT 103 PARRA BUILDING 2225
Ponce, PR 00717
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 20 clinicians in this Medicare group
NPI 1033183603 (787) 842-2478
Centro De Radioterapia Auxilio Mutuo, Inc.
Clinic/Center
735 AVE PONCE DE LEON, STOP 37.5
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 8 clinicians in this Medicare group
NPI 1154379253 (787) 771-7934
Precise Radiation Oncology Center Psc
Radiation Oncology
EDIF HERMANAS DAVILAS STE G1, CALLE MARGINAL, 5TA SECCION, NUM 4
Bayamon, PR 00959
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 7 clinicians in this Medicare group
NPI 1033426614 (787) 460-4787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00959 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.31
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luisa Marcial's NPI number?

The NPI number for Luisa Marcial is 1326181462. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Luisa Marcial located?

Luisa Marcial practices at Ext. Hnas Davila Marginal Carr. Pr #2 Edificio 1955 Suite G-1, Bayamon, PR 00959. The listed phone number is (787) 966-7500.

What is Luisa Marcial's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Luisa Marcial enrolled in Medicare?

Yes. Luisa Marcial is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Luisa Marcial's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luisa Marcial reassigns Medicare benefits to 3 organizations: Caribbean Imaging And Radiation Treatment Center,inc (Ponce, PR), Centro De Radioterapia Auxilio Mutuo, Inc. (San Juan, PR) and Precise Radiation Oncology Center Psc (Bayamon, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luisa Marcial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Luisa Marcial affiliated with any hospitals?

According to CMS data, Luisa Marcial is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Luisa Marcial was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.