DERIK I. MARRERO AMADEO M.D., LLC (NPI# 1851714497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851714497 |
| Entity Type | Organization |
| Organization Name | DERIK I. MARRERO AMADEO M.D., LLC |
| Practice Address |
310 Ave Lomas Verdes Suite 202 San Juan PR 00927-6638 |
| Practice Telephone | 7872725000 |
| Mailing Telephone | 7872725000 |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |
| Authorized Official Name | DR. DERIK IVAN MARRERO (MANAGER) |
| Authorized Official Telephone | 7872725000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 17309 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
310 AVE LOMAS VERDES SUITE 202 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00927-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952426413 | Ian Carlos Marrero Amadeo | Plastic Surgery | 310 Ave Lomas Verdes, Suite 202, San Juan, PR 00927-6638 | 2007-03-20 |
| 1528607488 | Adriana M Roig | Pharmacist | 310 Ave Lomas Verdes, San Juan, PR 00927-6638 | 2019-12-24 |
| 1558786988 | Ian C. Marrero-amadeo Md, LLC | Plastic Surgery | 310 Ave Lomas Verdes, Suite 202, San Juan, PR 00927-6638 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089205 | Kassandra Marie Bordado May | Counselor | #1542, Calle Bori Urb. Belisa, San Juan, PR 00927 | 2020-10-07 |
| 1427675347 | Lourdes A. Gonzalez Vazquez | Psychologist | Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927 | 2020-06-26 |
| 1619592078 | Dra. Perfetto Salud Integral Psi | Emergency Medicine | 254 Ave Jesus T Pinero, Suite 2, San Juan, PR 00927 | 2020-06-11 |
| 1538784210 | Geishamarie Feliciano -de Jesus | Student in an Organized Health Care Education/Training Program | 207 Cll Cornell, Apt 402 Cond University Gardens, San Juan, PR 00927 | 2020-06-09 |
| 1669095543 | Stephanie Marie Segura-abreu | Student in an Organized Health Care Education/Training Program | Calle Sergio Cuevas Bustamante #550, Hato Rey, San Juan, PR 00927 | 2020-05-26 |
| 1376166702 | Anyelina Jimenez Frias | Student in an Organized Health Care Education/Training Program | Calle Sergio Cueva Bustamante, 550, San Juan, PR 00927 | 2020-05-20 |
| 1124650973 | Giancarlo Martinez Tellado | Student in an Organized Health Care Education/Training Program | Cooperativa Jardines De San Ignacio, Calle San Guillermo Apartamento 1909a, San Juan, PR 00927 | 2020-02-10 |
| 1033754940 | Carlos Eduardo Garcia-ocasio | Student in an Organized Health Care Education/Training Program | Urb. Villas De San Francisco Street 2 A-1, San Juan, PR 00927 | 2019-11-14 |
| 1548818909 | Jennifer Sotomayor Pabon | Chiropractor | 254 Avenida Jesus T Pinero, Local #3, San Juan, PR 00927 | 2019-08-29 |
| 1407404999 | Christian Ivan Ortiz Torres | Chiropractor | 254 Ave Jesus T. Pinero, Local #3, San Juan, PR 00927 | 2019-08-28 |
| Find all providers in zip 00927 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588088652 | Instituto De Cirugia Plastica Metropolitano | Plastic Surgery | 1509 Ave Ponce De Leon, Ciudadela, Suite 1, San Juan, PR 00909-1728 | 2014-02-10 |
| 1255774725 | Rafael Alejandro Couto | Plastic Surgery | 373 Calle San Jorge Ste 200, San Juan, PR 00912-3312 | 2013-04-15 |
| 1952426413 | Ian Carlos Marrero Amadeo | Plastic Surgery | 310 Ave Lomas Verdes, Suite 202, San Juan, PR 00927-6638 | 2007-03-20 |
| 1043345499 | Carlos M Portocarrero | Plastic Surgery | 169 Calle San Jorge, San Juan, PR 00911-2054 | 2007-02-23 |
| 1720099278 | Juan Mario Maldonado | Plastic Surgery | 735 Avenida Ponce De Leon, Torre Del Auxilio Mutuo, San Juan, PR 00918 | 2006-08-10 |
| 1609896927 | Joel Toro-pagan | Plastic Surgery | 1400 Ave Magdalena, La Casabella, Third Floor, San Juan, PR 00907-2158 | 2006-07-20 |
| 1992776728 | Enrique A Pasarell | Plastic Surgery | 271 Jesus T. Pinero Ave., Hyde Park, San Juan, PR 00927-3901 | 2006-01-30 |
| 1427586627 | Busquets Plastic Surgery | Plastic Surgery | 100 Calle Del Muelle, Capitolio Plaza Suite 501, San Juan, PR 00901 | 2017-06-01 |
| 1518228014 | Plastic Hand Surgery, Psc | Plastic Surgery | 29 Calle Washington, Ashford Medical Center Suite 401, San Juan, PR 00907-1510 | 2012-06-01 |
| 1639365539 | Jorge Miranda Bustamante | Plastic Surgery | La Torre De Plaza Las Americas, Suite 608, San Juan, PR 00918 | 2007-09-25 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.