Dr. Mariela Marquez Pantoja, M.D.
Internal Medicine, Nephrology in Juncos, PR. Individual provider (NPI-1).
NPI number1376978098
StatusActive
Last updated in NPPESJul 28, 2019
Details
- NPI
- 1376978098
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mariela Marquez Pantoja
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2013
- Last updated
- Jul 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEPHROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 19598 | PR | Yes |
| 208D00000X | General Practice | 29470R | PR |
Practice location
26 Calle MartinezJuncos, PR 00777-3502
Phone 787-734-8042
Mailing address
Po Box 1819Juncos, PR 00777-1819
Phone 787-226-9182
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