Individual provider Active NPI

Jose T. Martinez, M.D.

  • Family Medicine Physician
  • Aguada, PR
National Provider Identifier
1255475331
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15498 Issued in PR
Practice address
222 Calle Marina
Aguada, PR 00602-3215
Phone
(787) 202-6967
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN427 FL
Family Medicine Physician 207Q00000X 15498 PR Primary

Addresses

Primary practice location

222 Calle Marina
Aguada, PR 00602-3215

Mailing address

222 Calle Marina
Aguada, PR 00602-3215
Phone (787) 202-6967

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
I20250623003136 PR Practitioner - Family Practice 3870521420 Reassigns benefits to 1 organization
Practice locations: Aguada, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15498PRMDFamily Medicine Physician
ACN427FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Psychiatric Service Corp CurrentSince Apr 28, 2025 Accepting new patients
The Balance Clinic LLC CurrentSince May 18, 2025 Accepting new patients
Ponce Medical School Foundation, Inc. Past Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients
Clinica Estabilizadora de Salud Mental de Aguadilla Inc Past Accepting new patients

Locations

222 Calle Marina
Aguada, PR 00602
Phone (787) 202-6967

Organizations & group practices 5

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1255475331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CALLE MARINA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023215",
            "telephone_number": "787-202-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CALLE MARINA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023215",
            "telephone_number": "787-202-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.