DR. IVAN F MARRERO D.M.D. - NPI 1881678340 - Oral & Maxillofacial Surgery in Santurce, PR

Q: What is Ivan Marrero's NPI number?

The NPI number for Ivan Marrero is 1881678340. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Ivan Marrero's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Marrero was last updated on June 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Ivan F Marrero D.m.d. NPPES

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

DR. IVAN F MARRERO D.M.D. (NPI 1881678340) is an individual oral & maxillofacial surgery provider in Santurce, Puerto Rico, licensed in Puerto Rico (653) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881678340

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. IVAN F MARREROCredential: D.M.D.

Location Address611 CALLE PAVIA, PAVIA MEDICAL PLAZA SUITE 208Santurce, PR 00909-2239

Mailing Address611 Calle Pavia, Pavia Medical Plaza Suite 208Santurce, PR 00909-2239 · (787) 268-3200 · Fax (787) 268-4045

Phone(787) 268-3200

Fax(787) 268-4045

Sole ProprietorYes

Enumeration DateNovember 30, 2005

Last NPPES UpdateJune 5, 2012

✔ NPI 1881678340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in PR · 653

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

611 CALLE PAVIA, Santurce, PR 00909

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Other Identifiers 2

Medicare UPINT70597PR

Medicare ID-Type Unspecified40695PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivan F Marrero D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.