Individual provider Active NPI

Cary Zoe Martinez, MD

  • Specialist
  • Humacao, PR
National Provider Identifier
1114963436
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9958 Issued in PR
Practice address
199 Calle Rio la Plata
Humacao, PR 00791-4446
Phone
(787) 285-1076
Fax
(787) 285-1076
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9958 PR Primary

Addresses

Primary practice location

199 Calle Rio la Plata
Humacao, PR 00791-4446

Mailing address

199 Calle Rio la Plata
Humacao, PR 00791-4446
Phone (787) 285-1076

Other identifiers 1

IdentifierTypeStateIssuer
9958OtherPRMEDICAL LICENSE

Other names 1

  • Dr. Cary Zoe Martinez Former name

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
I20130418000456 PR Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1557507498

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Humacao Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1114963436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CALLE RIO LA PLATA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914446",
            "telephone_number": "787-285-1076",
            "fax_number": "787-285-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CALLE RIO LA PLATA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914446",
            "telephone_number": "787-285-1076",
            "fax_number": "787-285-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARY",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "9958",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARY",
            "last_name": "MARTINEZ",
            "middle_name": "ZOE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.