Individual provider Active NPI

Pablo Laureano Marti Sr., MD

  • Emergency Medicine Physician
  • Hato Rey, PR
National Provider Identifier
1033140942
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9660 Issued in PR
Practice address
715 Ave Ponce de Leon
Hospital Auxilio Mutuo
Hato Rey, PR 00919
Phone
(787) 671-2766
Fax
(787) 746-8277
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9660 PR Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
Hospital Auxilio Mutuo
Hato Rey, PR 00919

Mailing address

PO Box 470
San Lorenzo, PR 00754-0470
Phone (787) 671-2766

Other names 1

  • Mr. Pablo Laureano Marti Sr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160503001647 TX Practitioner - Emergency Medicine 2163527755 Reassigns benefits to 1 organization
I20180308002237 KY Practitioner - Emergency Medicine 2163527755 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 6, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2018 Accepting new patients
Baptist Health Medical Group Inc Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients

Locations

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1033140942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540470",
            "telephone_number": "787-671-2766",
            "fax_number": "787-746-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "address_2": "HOSPITAL AUXILIO MUTUO",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-671-2766",
            "fax_number": "787-746-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREANO MARTI",
        "first_name": "PABLO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "9660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PABLO",
            "last_name": "LAUREANO MARTI",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.