Individual provider Active NPI

Marla Esther Jordan, MD

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Mayaguez, PR
National Provider Identifier
1033303151
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
017140 Issued in PR
Practice address
Clinica Epanola
Bo. Balboa Sector la Quinta
Mayaguez, PR 00680-0000
Phone
(787) 832-0404
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 017140 PR Primary

Addresses

Primary practice location

Clinica Epanola
Bo. Balboa Sector la Quinta
Mayaguez, PR 00680-0000

Mailing address

PO Box 8010
Marina Station
Mayaguez, PR 00681-8010
Phone (787) 316-7963

Other identifiers 1

IdentifierTypeStateIssuer
1033303151OtherPRTRIPLE-S

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
I20080717000478 PR Practitioner - Neurology 6103999578 Practice locations: Mayaguez, PR; San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University Central del Caribe Escuela de Medicina, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

310 Ave Hostos
Suite 201
Mayaguez, PR 00682-2522
Phone (787) 831-0460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017140PRMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Eduardo a. Martinez Dba PastSince Feb 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1033303151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8010",
            "address_2": "MARINA STATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006818010",
            "telephone_number": "787-316-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA EPANOLA",
            "address_2": "BO. BALBOA SECTOR LA QUINTA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800000",
            "telephone_number": "787-832-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARLA",
        "middle_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "PR",
            "license": "017140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "1033303151",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.