Individual provider Active NPI

Jorge C Martinez, M.D.

  • Specialist
  • Coamo, PR
National Provider Identifier
1225132772
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10832 Issued in PR
Practice address
42 Calle Baldorioty
Coamo, PR 00769-3119
Phone
(787) 825-8808
Fax
(787) 825-8808
NPI assigned
Sep 12, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10832 PR Primary

Addresses

Primary practice location

42 Calle Baldorioty
Coamo, PR 00769-3119

Mailing address

PO Box 801237
Coto Laurel, PR 00780-1237
Phone (787) 848-6747

Other identifiers 9

IdentifierTypeStateIssuer
060241OtherPRLA CRUZ AZUL DE PUERTO RI
4310832OtherPRPLAN DE SALUD UIA
7690006OtherPRHUMANA
212606OtherPRPREFERRED HEALTH
3633OtherPRPREFERRED MEDICARE CHOICE
531OtherPRAMERICAN HEALTH MEDICARE
88696OtherPRTRIPLE S
200070OtherPRMEDICARE Y MUCHO MAS
M000355OtherPRPLAN DE SALUD MENONITA

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
I20050401000049 PR Practitioner - Internal MedicinePractitioner - General Practice 4789631854 Practice locations: Coamo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42 Calle Baldorioty
Coamo, PR 00769-3119
Phone (787) 825-8808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10832PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
RS Centro Medicina Avanzada, Corp Past Accepting new patients
Metro Ponce Inc Past Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1225132772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801237",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801237",
            "telephone_number": "787-848-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693119",
            "telephone_number": "787-825-8808",
            "fax_number": "787-825-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PUERTO RI",
            "identifier": "060241",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN DE SALUD UIA",
            "identifier": "4310832",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7690006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "212606",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "3633",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "531",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "88696",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "200070",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN DE SALUD MENONITA",
            "identifier": "M000355",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.