Individual provider Active NPI

Carlos A Rosario-Martinez, M.D.

  • Internal Medicine Physician
  • Yauco, PR
National Provider Identifier
1114050283
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15870 Issued in PR
Practice address
40 Calle 25 de Julio
Yauco, PR 00698-3601
Phone
(787) 267-2811
Fax
(787) 267-1964
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15870 PR Primary

Addresses

Primary practice location

40 Calle 25 de Julio
Yauco, PR 00698-3601

Mailing address

Urb. Costa Sur F F-24
Yauco, PR 00698-0000
Phone (787) 267-4475

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
I20070418000090 PR Practitioner - Internal MedicinePractitioner - General Practice 6002911245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juan C. Velasco Cervilla MD CSPGroup PAC ID 7911097621, 2 clinicians

Practice addresses (Care Compare)

40 Calle 25 de Julio
Yauco, PR 00698-3601
Phone (787) 267-2811

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Juan C. Velasco Cervilla MD CSP Internal Medicine CurrentSince Sep 6, 2012 Accepting new patients
Hospital Damas Inc Past Accepting new patients

Locations

40 Calle 25 de Julio
Yauco, PR 00698
Phone (787) 267-2811

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1114050283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. COSTA SUR F F-24",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980000",
            "telephone_number": "787-267-4475",
            "fax_number": "787-267-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALLE 25 DE JULIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983601",
            "telephone_number": "787-267-2811",
            "fax_number": "787-267-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.