Individual provider Active NPI

Luz Enid Martinez-Martinez, M.D.

  • Internal Medicine Physician
  • Sabana Grande, PR
National Provider Identifier
1265436794
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7772 Issued in PR
Practice address
84 Calle Angel G Martinez
Sabana Grande, PR 00637-1718
Phone
(787) 873-4100
Fax
(787) 873-4100
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7772 PR Primary

Addresses

Primary practice location

84 Calle Angel G Martinez
Sabana Grande, PR 00637-1718

Mailing address

PO Box 1150
San German, PR 00683-1150
Phone (787) 873-4100

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
I20110524000815 PR Practitioner - Internal Medicine 0547446742 Practice locations: Sabana Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

84 Calle Angel G Martinez
Sabana Grande, PR 00637-1718
Phone (787) 873-4100

Calle Angel G Martinez
Suite 84
Sabana Grande, PR 00637-1718

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1265436794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831150",
            "telephone_number": "787-873-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CALLE ANGEL G MARTINEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371718",
            "telephone_number": "787-873-4100",
            "fax_number": "787-873-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MARTINEZ",
        "first_name": "LUZ",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.