Edwin Martinez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15760 Issued in PR

Practice address

St.1 B55 Villas de Loiza
Farmacia Medina 2
Canovanas, PR 00729

Phone

(787) 886-3900

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Municipio de Sabana Grande

  • Clinic/Center
  • Sabana Grande, PR
  • NPI 1780791814
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205939394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CALLE FIDEL VELEZ",
            "address_2": "EXT SAN ISIDRO",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372019",
            "telephone_number": "787-856-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST.1 B55 VILLAS DE LOIZA",
            "address_2": "FARMACIA MEDINA 2",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-886-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria V Berrios
• Francisco Marte Cabrera, M.D.
• Francisco Rafael Marte-Oquendo
• Karina Marie Martinez Rivera, MA
• Carmen Laura Martinez, MD
• Naylu Noherry Martinez, MSW, MD
• Eneida A Mateo, MSW
• Medical Service of PR CSP
• Medina Medical Transport Corporation
• Medina Medical Transport EMS Corp.

• General Practice Physician in Canovanas, PR
• Providers in Canovanas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.