Active NPI
Ivan Gilberto Martinez-Deliz, M.D.
- Physical Medicine & Rehabilitation Physician
- Mayaguez, PR
National Provider Identifier
1144223496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5735
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5735 | PR | MD | Social 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.