Individual provider Active NPI

Melisa Raquel Martinez-Marti, M.D.

  • Rheumatology Physician
  • Carolina, PR
National Provider Identifier
1235323668
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
17,950 Issued in PR
Practice address
Ave. Fragoso 4Es5
Carolina, PR 00983
Phone
(787) 768-8944
Fax
(787) 768-8944
NPI assigned
Aug 29, 2007
Last updated
Oct 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17,950 PR
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 17950 PR
Rheumatology Physician 207RR0500X 17,950 PR Primary

Addresses

Primary practice location

Ave. Fragoso 4Es5
Carolina, PR 00983

Mailing address

PO Box 79594
Carolina, PR 00984-9594
Phone (787) 768-8944

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
I20131002000204 PR Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 7214161439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Geriatric Medicine, Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Ave de Diego
Suite 240
Carolina, PR 00987-4703
Phone (787) 768-8944

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17950PRMDGeriatric Medicine (Internal Medicine) Physician
17,950PRMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MM Rheumatology LLC Rheumatology CurrentSince Oct 21, 2015 Accepting new patients

Locations

1400 Ave de Diego
Ste 240
Carolina, PR 00987
Phone (787) 253-1101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1235323668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79594",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849594",
            "telephone_number": "787-768-8944",
            "fax_number": "787-768-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FRAGOSO 4ES5",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-768-8944",
            "fax_number": "787-768-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MARTI",
        "first_name": "MELISA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17,950",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "17950",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "17,950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.