Active NPI
MM Rheumatology LLC
- Rheumatology Physician
- Carolina, PR
National Provider Identifier
1063889202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 17,950
- Legal business name
- MM RHEUMATOLOGY LLC
- Practice address
- 4Es5 Fragoso Ave.
Carolina, PR 00983-0000 - Phone
- (787) 768-8944
- NPI assigned
- Aug 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melisa Martinez Marti, M.D.
- Title
- President
- Phone
- (787) 768-8944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 17,950 | PR | Primary |
Addresses
Primary practice location
4Es5 Fragoso Ave.
Carolina, PR 00983-0000
Mailing address
PO Box 79594
Carolina, PR 00984-9594
Phone (787) 768-8944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1400 Ave de Diego
Ste 240
Carolina, PR 00987
Phone (787) 253-1101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Carolina, PR
- NPI 1235323668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1063889202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79594",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009849594",
"telephone_number": "787-768-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4ES5 FRAGOSO AVE.",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009830000",
"telephone_number": "787-768-8944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MM RHEUMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-24",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "MARTINEZ MARTI",
"authorized_official_first_name": "MELISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-768-8944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "PR",
"license": "17,950",
"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 Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.