Active NPI
Marta C Plaza, MD
- Specialist
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13478
- Practice address
- Carr 349 KM 2.7 Cerro Las Mesas
Hospital Bella Vista
Mayaguez, PR 00680-0000 - Phone
- (787) 834-1021
- Fax
- (787) 834-1051
- NPI assigned
- Sep 15, 2005
- Last updated
- Sep 7, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 13478 | PR | Primary |
Addresses
Primary practice location
Carr 349 KM 2.7 Cerro Las Mesas
Hospital Bella Vista
Mayaguez, PR 00680-0000
Mailing address
PO Box 3605
Mayaguez, PR 00681-3605
Phone (787) 834-1021
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20253 | Other | PR | TRIPLE S |
| 5618 | Other | PR | FIRST MEDICAL |
| PE4613 | Other | PR | PAN AMERICAN |
| 20170B | Other | PR | PREFERRED MEDICARE CHOICE |
| 660606085 | Other | PR | MEDICAL CARD SYSTEM |
| 5106085 | Other | PR | UIA |
| 221055 | Other | PR | PREFERRED UTI |
| 660606085 | Other | PR | PLAN DE SALUD BELLA VISTA |
| 6800165 | Other | PR | HUMANA INSURANCE |
| 100041 | Other | PR | CRUZ AZUL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Parque Industrial Sabaneta
Ponce, PR 00716
Phone (787) 841-8645
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pathology Services, Inc. | Current | Accepting new patients | |
| Southern Pathology Services, Inc. | Current | Accepting new patients | |
| Caribe Pathology CSP | Specialist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Ponce, PR
- NPI 1134119233
-
dba Laboratorio Clinico y Molecular Southern Pathology Services, Inc.
- Clinical Medical Laboratory
- Ponce, PR
- NPI 1154586808
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1013140383
-
dba Hospital San Lucas
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1093700080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3605",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813605",
"telephone_number": "787-834-1021",
"fax_number": "787-834-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 349 KM 2.7 CERRO LAS MESAS",
"address_2": "HOSPITAL BELLA VISTA",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006800000",
"telephone_number": "787-834-1021",
"fax_number": "787-834-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAZA",
"first_name": "MARTA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "13478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "20253",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "5618",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAN AMERICAN",
"identifier": "PE4613",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "20170B",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL CARD SYSTEM",
"identifier": "660606085",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "5106085",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED UTI",
"identifier": "221055",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLAN DE SALUD BELLA VISTA",
"identifier": "660606085",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "6800165",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "100041",
"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 Sep 7, 2010; 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.