Individual provider Active NPI

Fernando Martinez Scmidt, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1023089836
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11900 Issued in PR
Practice address
Ave Ponce de Leon # 728
San Juan, PR 00919
Phone
(787) 754-9720
Fax
(787) 767-6743
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11900 PR Primary

Addresses

Primary practice location

Ave Ponce de Leon # 728
San Juan, PR 00919

Mailing address

PMB 535 89 de Diego
Suite 105
San Juan, PR 00927-6346
Phone (787) 504-8080

Other identifiers 1

IdentifierTypeStateIssuer
20453MAOtherPRSSS

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
I20100713000743 PR Practitioner - Psychiatry 8820120793 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

576 C/Cesar Gonzalez
Suite 403
San Juan, PR 00918-3769
Phone (787) 754-9720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11900PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Integrate Program Services, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Sper Corporation Psychiatry Past Accepting new patients
San Juan Capestrano Hospital Inc. Past Accepting new patients

Locations

355 Calle Font Martelo
Humacao, PR 00791
Phone (787) 587-4266

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1023089836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 535 89 DE DIEGO",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276346",
            "telephone_number": "787-504-8080",
            "fax_number": "787-767-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 728",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-754-9720",
            "fax_number": "787-767-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SCMIDT",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "20453MA",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.