Individual provider Active NPI

Elba Rosa Martin Reyes, MD

  • Pulmonary Disease Physician
  • Guaynabo, PR
National Provider Identifier
1003808742
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
16147 Issued in PR
Practice address
Ave San Patricio # 101
Maramar Plaza Suite 1240
Guaynabo, PR 00968-4484
Phone
(787) 508-5445
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 16147 PR Primary

Addresses

Primary practice location

Ave San Patricio # 101
Maramar Plaza Suite 1240
Guaynabo, PR 00968-4484

Mailing address

87 Carret 20 Cond la Arboleda
Apt 1603
Guaynabo, PR 00966
Phone (787) 782-4156

Other identifiers 1

IdentifierTypeStateIssuer
16147OtherPRMEDICAL LISENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070309000159 PR Practitioner - Pulmonary DiseasePractitioner - General PracticePractitioner - Internal Medicine 1850494915 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Ave San Patricio
Suite 1240
Guaynabo, PR 00968-3057
Phone (787) 545-5124

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
  • Centro Cardiovascular de Puerto Rico Y El Caribe Hospital, San Juan, PR, CCN 400124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allianze Medical Services, PSC Pulmonary Disease PastSince Mar 6, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1003808742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CARRET 20 COND LA ARBOLEDA",
            "address_2": "APT 1603",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-782-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SAN PATRICIO # 101",
            "address_2": "MARAMAR PLAZA SUITE 1240",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009684484",
            "telephone_number": "787-508-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN REYES",
        "first_name": "ELBA",
        "middle_name": "ROSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "16147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISENCE",
            "identifier": "16147",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.