Individual provider Active NPI

Gabriel Martinez-Rodriguez, MD

  • Infectious Disease Physician
  • Ponce, PR
National Provider Identifier
1023063104
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
11939 Issued in PR
Practice address
San Cristobal Anexo Torre I
Ponce, PR 00780
Phone
(787) 848-2100
Fax
(787) 813-1836
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Ponce School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-2080

Carretera PR
506 Hospital San Cristobal de Ponce
Coto Laurel, PR 00780-1207
Phone (787) 848-2100

PO Box
Suite 801207
Coto Laurel, PR 00780-1207

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20061018000214 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 7719982024 Reassigns benefits to 1 organization
Practice locations: Coto Laurel, PR; Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11939PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. CurrentSince Sep 10, 2014 Accepting new patients
Med Centro, Inc. Current Accepting new patients
Med Centro, Inc. CurrentSince Sep 10, 2014 Accepting new patients

Locations

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 11939 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

San Cristobal Anexo Torre I
Ponce, PR 00780

Mailing address

PO Box 34239
Ponce, PR 00734-0239
Phone (787) 813-1836

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2010.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1023063104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34239",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007340239",
            "telephone_number": "787-813-1836",
            "fax_number": "787-813-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN CRISTOBAL ANEXO TORRE I",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-848-2100",
            "fax_number": "787-813-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-RODRIGUEZ",
        "first_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.