Individual provider Active NPI

Edilberto Martinez, MD

  • Maternal & Fetal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1073594404
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
13733 Issued in PR
Practice address
73 Calle Santa Cruz
Edif. Medico Santa Cruz Suite 413
Bayamon, PR 00961-6910
Phone
(787) 269-1445
Fax
(787) 787-2808
NPI assigned
Nov 11, 2005
Last updated
Oct 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 13733 PR Primary

Addresses

Primary practice location

73 Calle Santa Cruz
Edif. Medico Santa Cruz Suite 413
Bayamon, PR 00961-6910

Mailing address

73 Calle Santa Cruz
Edif. Medico Santa Cruz Suite 413
Bayamon, PR 00961-6910
Phone (787) 269-1445

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
I20131120000948 PR Practitioner - Obstetrics/Gynecology 3779719893 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13733PRMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Sep 16, 2013 Accepting new patients
Recinto de Ciencias Medicas Maternal & Fetal Medicine CurrentSince Sep 16, 2013 Accepting new patients
Recinto de Ciencias Medicas Maternal & Fetal Medicine CurrentSince Sep 16, 2013 Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients

Locations

2do Piso Area De Mic
San Juan, PR 00935

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1073594404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "EDIF. MEDICO SANTA CRUZ SUITE 413",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-269-1445",
            "fax_number": "787-787-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "EDIF. MEDICO SANTA CRUZ SUITE 413",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-269-1445",
            "fax_number": "787-787-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDILBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PR",
            "license": "13733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.