Individual provider Active NPI

Maria Inaru Del Valle Martinez, MD

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1194241133
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019767 Issued in PR
Practice address
PR 181, KM. 8.4
Barrio la Gloria
Trujillo Alto, PR 00976
Phone
(787) 748-3072
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 019767 PR Primary

Addresses

Primary practice location

PR 181, KM. 8.4
Barrio la Gloria
Trujillo Alto, PR 00976

Mailing address

PO Box 1918
Trujillo Alto, PR 00977-1918
Phone (787) 422-6838

Other identifiers 1

IdentifierTypeStateIssuer
019767OtherPRPR MEDICAL LICENCING BOARD

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
I20180911001350 PR Practitioner - General Practice 7911264064 Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019767PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Integral Awilda Martinez 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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1194241133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1918",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771918",
            "telephone_number": "787-422-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 181, KM. 8.4",
            "address_2": "BARRIO LA GLORIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-748-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE MARTINEZ",
        "first_name": "MARIA",
        "middle_name": "INARU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENCING BOARD",
            "identifier": "019767",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.