Individual provider Active NPI

Jose G Rodriguez Martinez, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1063920585
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23107 Issued in PR
Practice address
48 Calle Francisco G Bruno W
Guayama, PR 00784-4734
Phone
(787) 238-5587
NPI assigned
Jan 18, 2018
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X PR
Counselor 101Y00000X PR
Student in an Organized Health Care Education/Training Program 390200000X 15974I PR
General Practice Physician 208D00000X 23107 PR Primary

Addresses

Primary practice location

48 Calle Francisco G Bruno W
Guayama, PR 00784-4734

Mailing address

11300 Calle Amapola
Santa Isabel, PR 00757-3135
Phone (787) 238-5587

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
I20230311000292 PR Practitioner - General Practice 1658703251 Practice locations: Santa Isabel, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23107PRMDGeneral Practice Physician
15974IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nexxus Health Solution LLC General Practice CurrentSince Apr 13, 2025 Accepting new patients
Comunidad Saludable de la Montana Voluntary Or Charitable CurrentSince Nov 15, 2019 Accepting new patients
Municipio de Santa Isabel CurrentSince Jul 24, 2025 Accepting new patients
Municipio de Santa Isabel CurrentSince Jul 24, 2025 Accepting new patients

Locations

89 Calle Hostos
Santa Isabel, PR 00757
Phone (787) 845-4040

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1063920585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CALLE AMAPOLA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007573135",
            "telephone_number": "787-238-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CALLE FRANCISCO G BRUNO W",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844734",
            "telephone_number": "787-238-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-02-08",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15974I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.