Individual provider Active NPI

Reynaldo Lluberes Martinez

  • Certified Registered Nurse Anesthetist
  • Carolina, PR
National Provider Identifier
1063149805
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
120795 Issued in FL
Practice address
Urb Villa Fontana
Via Diana TR3
Carolina, PR 00983
Phone
(787) 340-5934
NPI assigned
Aug 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 120795 FL Primary

Addresses

Primary practice location

Urb Villa Fontana
Via Diana TR3
Carolina, PR 00983

Mailing address

Urb Villa Fontana
Via Diana TR3
Carolina, PR 00983
Phone (787) 340-5934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001996 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961879812 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians

Practice addresses (Care Compare)

740 Concourse Pkwy S
Suite 100
Maitland, FL 32751-8101
Phone (407) 644-4222

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120795FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Jun 1, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2022 Accepting new patients
Osceola County Anesthesia Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
Ocala Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
MNH Gi Anesthesia & Pain Management LLC CurrentSince Nov 28, 2022 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Fpra Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2022 Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients

Locations

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

737 W Oak St
Ste 201
Kissimmee, FL 34741

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

150 SW Chamber Ct
Ste 104
Port St Lucie, FL 34986
Phone (772) 879-5300

2807 Capital Medical Blvd
Ste 2
Tallahassee, FL 32308
Phone (850) 402-4107

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

401 Commerce St
Ste 600
Nashville, TN 37219
Phone (615) 345-6900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1063149805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA FONTANA",
            "address_2": "VIA DIANA TR3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-340-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA FONTANA",
            "address_2": "VIA DIANA TR3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-340-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLUBERES MARTINEZ",
        "first_name": "REYNALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "120795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.