Juan Carlos Martinez-Moreno, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

16826 Issued in PR

Practice address

3017 W Charleston Blvd
Suite 90
Las Vegas, NV 89102-1941

Phone

(702) 826-2816

Fax

(702) 826-2813

NPI assigned

Aug 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physical Medicine and Rehabilitation

Education

Ponce School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16603/brand/1/csg/1/fhir/r4

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.

• Juan Carlos Martinez-Moreno MD PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1962808303
  Medicare reassignment NPD Authorized official
• Joseph Dang Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NV
  • NPI 1972750081
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1114118676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD",
            "address_2": "SUITE 90",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021941",
            "telephone_number": "702-826-2816",
            "fax_number": "702-826-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD",
            "address_2": "SUITE 90",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021941",
            "telephone_number": "702-826-2816",
            "fax_number": "702-826-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MORENO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "16826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Martinez-Chinea
• Olivia Martinez-Collazo
• Jasmine Martinez-Corral, APRN
• Luisa F Martinez-Cruz, LMFT, LADC
• Valerie Martinez-Gutierrez
• Sergio Martinez-Navarrete
• Nathalie Martinez-Ochoa
• Sylvia Martinez-Pineda, LPN
• Maria Monique-Nicole Martinez-Quiros, DBH, LCPC, LPCC, LPC
• Cristian Martinez-Rodriguez

• Physical Medicine & Rehabilitation Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.

Verify at the official NPI Registry.