ILEANA MARQUEZ PEREZ


Address: 70000 Carr 844 Apt 110, San Juan, PR 00926
Phone: 2392400942

ILEANA MARQUEZ PEREZ (NPI# 1114412137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114412137
Entity Type Individual
Full Name ILEANA MARQUEZ PEREZ
Credential MD
Practice Address 70000 Carr 844 Apt 110
San Juan
PR 00926
Mailing Address 7000 Carr 844 Apt 110
San Juan
PR 00926-9576
Practice Telephone 2392400942
Mailing Telephone 2392400942
Enumeration Date 2018-06-22
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 21307 PR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 14575I PR Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
PR INTERN LICENSE NUMBER 14575-I 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
70000 Carr 844 Apt 110, San Juan, PR 00926 2392400942

Office Location

Street Address 70000 CARR 844 APT 110
City SAN JUAN
State PR
Zip Code 00926

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164023081 Urology Hub LLC Internal Medicine 940 Los Romero St Suite 1540, San Juan, PR 00926 2020-11-06
1700487246 Elimaliel Suarez Cortes Psychologist Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 2020-11-02
1407455405 Ricardo Enrique Jimenez Ramos Pharmacist Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 2020-10-21
1679180806 Nicolle Rodriguez Mercado Occupational Therapist Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 2020-10-01
1700493616 Mana Home Associates, Inc PACE Provider Organization 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 2020-09-24
1497361117 Victor Francisco Rivera Beltran Sr. General Practice 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 2020-09-17
1053925370 Rafael Esteban Amador Gonzalez Student in an Organized Health Care Education/Training Program La Campina 79 Calle 1, San Juan, PR 00926 2020-09-03
1366053811 Diana Paola Rivera Psychologist 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 2020-08-10
1831708437 Gymar M Vargas Student in an Organized Health Care Education/Training Program Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 2020-07-29
1558979427 Luis Hiram Zayas Martinez Social Worker Calle 8 #373 Ext San Agustin, San Juan, PR 00926 2020-07-16
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508473620 Maria Isabel De Jesus General Practice 881 Calle Manuel Guerra, San Juan, PR 00924-2533 2020-09-24
1427664762 Carlos Ruben Alomar Lopez General Practice 200 Calle Cupey Gdns Ste 11w, San Juan, PR 00926-7366 2020-09-22
1497361117 Victor Francisco Rivera Beltran Sr. General Practice 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 2020-09-17
1861010191 Monica Molina-serrano General Practice 342 Calle San Luis, San Juan, PR 00920-1623 2020-07-13
1295353910 Vmedical Group Psc General Practice Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 2020-07-09
1851918338 Jenniffer Ramirez Gomez General Practice 138 Ave Winston Churchill Pmb 922, San Juan, PR 00926-6013 2020-06-30
1447877949 Paola Katsi Vissepo Martinez General Practice Carr 22 Barrio Monacillos Hospital Oncologico, San Juan, PR 00935-0001 2020-06-30
1598385049 Mediexpreso LLC General Practice Villa Hucar C6 Calle Almendro, San Juan, PR 00920 2020-04-24
1316571912 Charitin De Pena Gomez General Practice L11 Calle Ronda, San Juan, PR 00926-2309 2020-02-24
1093347692 Elite Medical Clinic of Pr LLC General Practice 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748 2020-02-11
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Competitor

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City SAN JUAN
Zip Code 00926

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Dataset Information

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.

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