Active NPI
Jorge C Martinez, M.D.
- Specialist
- Coamo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10832
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060241 | Other | PR | LA CRUZ AZUL DE PUERTO RI |
| 4310832 | Other | PR | PLAN DE SALUD UIA |
| 7690006 | Other | PR | HUMANA |
| 212606 | Other | PR | PREFERRED HEALTH |
| 3633 | Other | PR | PREFERRED MEDICARE CHOICE |
| 531 | Other | PR | AMERICAN HEALTH MEDICARE |
| 88696 | Other | PR | TRIPLE S |
| 200070 | Other | PR | MEDICARE Y MUCHO MAS |
| M000355 | Other | PR | PLAN 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050401000049 | PR | Practitioner - Internal Medicine | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10832 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Hospital Metropolitano Dr. Pila
- General Acute Care Hospital
- Ponce, PR
- NPI 1720306343
-
- Family Medicine Physician
- Coamo, PR
- NPI 1346214129
-
dba Hospital San Lucas
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital Metropolitano Dr. Pila
- General Acute Care Hospital
- Ponce, PR
- NPI 1720306343
-
- Community Based Hospice Care Agency
- Ponce, PR
- NPI 1841925161
-
dba Hospital San Lucas
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.