DR. JUAN CARLOS MARRERO GRATACOS (NPI# 1831224294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831224294 |
| Entity Type | Individual |
| Full Name | DR. JUAN CARLOS MARRERO GRATACOS |
| Practice Address |
1326 Ste 107 El Senorial Plz Ponce PR 00717-1686 |
| Mailing Address |
Calle 1326 Ste 107 El Senorial Plaza Ponce PR 00717 |
| Practice Telephone | 7878121010 |
| Practice Fax Number | 7876754596 |
| Mailing Telephone | (787) 812-1010 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
M662-423-73-146- | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D2464 | PR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 1831224294 | 05 |
| Street Address |
1326 STE 107 EL SENORIAL PLZ |
| City | PONCE |
| State | PR |
| Zip Code | 00717-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202513 | Anthony Ramirez Sanchez | Counselor | Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 | 2020-07-20 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1598399446 | Zadia Y Rodriguez | Dietitian, Registered | Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 | 2020-03-01 |
| 1154953412 | Centro Creando Camino De Vida LLC. | Occupational Therapy Assistant | Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 | 2020-02-05 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1316582216 | Krystina D Garay | Case Management | 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 | 2019-11-14 |
| 1982255097 | Javier Alejandro Carmona-morales | Pharmacist | Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 | 2019-09-20 |
| 1043867492 | Hope Center LLC | Clinic/Center | Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 | 2019-08-21 |
| 1174185201 | Suhail Milagros Padilla | Physician Assistant | 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 | 2019-06-28 |
| 1255991493 | Jorge E Sanchez Rivera | Social Worker | 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 | 2019-06-19 |
| Find all providers in zip 00717 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700176609 | Patricia Enid Irizarry | Dentist | S1 Jard Fagot, Calle Valeriana, Ponce, PR 00716-4048 | 2011-04-12 |
| 1013063882 | Benjamin Gonzalez Reyes | Dentist | Plazoleta Las Americas 2015, Ave. Las Americas Suite 101, Ponce, PR 00717 | 2007-01-26 |
| 1851446488 | Jose L. Franco Mal | Dentist | 104 Calle Reina, Ponce, PR 00730-3683 | 2007-01-24 |
| 1669525176 | Mildred Ocasio-santiago | Dentist | 21 Calle Alfonso Xii, Playa Ponce, Ponce, PR 00716-8012 | 2007-01-19 |
| 1770630865 | Amilcar Rafael Rodriguez Melendez | Dentist | Glenview Gardens Shopping Center, Suite #4, Ponce, PR 00731 | 2007-01-04 |
| 1568521250 | Leslie H Lopez | Dentist | 129villa, Suite 23, Ponce, PR 00730 | 2006-12-08 |
| 1710047154 | Jesus E Lopez | Dentist | 2637 Ave Las Americas, Ponce, PR 00717-2106 | 2006-12-08 |
| 1689732950 | Luis A Gonzalez | Dentist | Santa Maria Office Bldg Suite 222 Calle Ferrocuri 450, Ponce, PR 00717-1105 | 2006-12-05 |
| 1164594917 | Rosa Y Sanchez | Dentist | Policlinicas De Ponce Plazoleta Cash and Carry #4, Ponce, PR 00731 | 2006-11-15 |
| 1427127554 | Maria Eloisa Melendez | Dentist | 2909 Ave Emilio Fagot, Ponce, PR 00716-3613 | 2006-11-06 |
| Find all providers in PONCE | ||||
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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.