Active NPI
Marla Esther Jordan, MD
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Mayaguez, PR
National Provider Identifier
1033303151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- License
- 017140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033303151 | Other | PR | TRIPLE-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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 017140 | PR | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Eduardo a. Martinez Dba | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Mayaguez, PR
- NPI 1740933506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.