Individual provider Active NPI

Ronaldo L Martinez

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1194927129
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10487 Issued in PR
Practice address
735 Ave Ponce de Leon
Suite 706 Torre Auxilio Mutuo
San Juan, PR 00917-5022
Phone
(787) 765-0670
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10487 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Suite 706 Torre Auxilio Mutuo
San Juan, PR 00917-5022

Mailing address

735 Ave Ponce de Leon
Suite 706 Torre Auxilio Mutuo
San Juan, PR 00917-5022

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
I20050513000700 PR Practitioner - Internal Medicine 2062453632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
San Juan, PR 00917-5029
Phone (787) 765-0670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10487PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ronaldo Martinez Garcia Health Services, CSP Internal Medicine CurrentSince Jan 14, 1992 Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 706
San Juan, PR 00917
Phone (787) 765-0670

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1194927129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 706 TORRE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 706 TORRE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-765-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RONALDO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.