Individual provider Active NPI

Ivan Gilberto Martinez-Deliz, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mayaguez, PR
National Provider Identifier
1144223496
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5735 Issued in PR
Practice address
1065 Avenida Corazones Suites 107-108
Edificio Medico Profesional, Centro Terapia Fisica
Mayaguez, PR 00680-7063
Phone
(787) 834-5640
Fax
(787) 832-6141
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5735 PR Primary

Addresses

Primary practice location

1065 Avenida Corazones Suites 107-108
Edificio Medico Profesional, Centro Terapia Fisica
Mayaguez, PR 00680-7063

Mailing address

Avenida Corazones Suites 108-107
Edificio Medico Profesional, Centro Terapia Fisica
Mayaguez, PR 00680-7063
Phone (787) 834-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5735PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1144223496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA CORAZONES SUITES 108-107",
            "address_2": "EDIFICIO MEDICO PROFESIONAL, CENTRO TERAPIA FISICA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807063",
            "telephone_number": "787-834-5640",
            "fax_number": "787-832-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 AVENIDA CORAZONES SUITES 107-108",
            "address_2": "EDIFICIO MEDICO PROFESIONAL, CENTRO TERAPIA FISICA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807063",
            "telephone_number": "787-834-5640",
            "fax_number": "787-832-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-DELIZ",
        "first_name": "IVAN",
        "middle_name": "GILBERTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.