Active NPI
Nitza Martinez Fernandez, M.D.
- General Practice Physician
- Arecibo, PR
National Provider Identifier
1164575668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6617
- Practice address
- Avenida Principal 94
Barrio Bajadero
Arecibo, PR 00616-0799 - Phone
- (787) 881-3325
- Fax
- (787) 881-3325
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 6617 | PR | Primary |
Addresses
Primary practice location
Avenida Principal 94
Barrio Bajadero
Arecibo, PR 00616-0799
Mailing address
PO Box 477
Arecibo, PR 00613-0477
Phone (787) 881-3325
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6215 | Other | PR | INTERNATIONAL MEDICAL CARD |
| 3832 | Other | PR | PREFERRED MEDICARE CHOICE |
| 100270 | Other | PR | MEDICARE Y MUCHO MAS |
| 3938704 | Other | PR | CIGNA HEALTHCARE |
| 6239 | Other | PR | AMERICAN HEALTH MEDICARE |
| 83216MA | Other | PR | TRIPLE-S SALUD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131022000972 | PR | Practitioner - General Practice | 0840425138 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
94 Ave Principal
Arecibo, PR 00616
Phone (787) 881-3325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6617 | PR | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1164575668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 477",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006130477",
"telephone_number": "787-881-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA PRINCIPAL 94",
"address_2": "BARRIO BAJADERO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006160799",
"telephone_number": "787-881-3325",
"fax_number": "787-881-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ FERNANDEZ",
"first_name": "NITZA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "6617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CARD",
"identifier": "6215",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "3832",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "100270",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3938704",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH MEDICARE",
"identifier": "6239",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S SALUD",
"identifier": "83216MA",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
- Jose Antonio Marrero Nieves, MD
- Jaime Marrero Russe, M.D.
- Ylsa Zoraida Marrero-Sanchez, PSYD
- Carla C. Marrero, RPH
- Gerardo Emmanuel Martinez Arroyo, MD
- Annette Eunice Martinez Padilla, M.D.
- Jose L Martinez Ramos, O.D.
- Pedro A Martinez Rivera, M.D.
- Gonzalo Jose Martinez Ruiz, MD
- Angel Luis Martinez-Colon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.