Individual provider Active NPI

Nitza Martinez Fernandez, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1164575668
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6617 Issued in PR
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

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6215OtherPRINTERNATIONAL MEDICAL CARD
3832OtherPRPREFERRED MEDICARE CHOICE
100270OtherPRMEDICARE Y MUCHO MAS
3938704OtherPRCIGNA HEALTHCARE
6239OtherPRAMERICAN HEALTH MEDICARE
83216MAOtherPRTRIPLE-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6617PRMDOther 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

Sources for this page

Verify at the official NPI Registry.