Glenda Martinez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10759 Issued in PR

Practice address

Villas de Rio Grande Ave Perez Andino B-29
Rio Grande, PR 00745

Phone

(787) 888-2302

Fax

(787) 888-2302

NPI assigned

Oct 17, 2005

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: uprgms@yourcarecommunity.org

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1295724896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARKVILLE CLEVELAND F-20",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694537",
            "telephone_number": "787-887-3011",
            "fax_number": "787-809-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLAS DE RIO GRANDE AVE PEREZ ANDINO B-29",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-888-2302",
            "fax_number": "787-888-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GLENDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilmania G. Mambru Tavarez, PSY D
• Anaymi Marquez, SLP
• Maria E Marquez
• Luis Orlando Martinez-Rijos, RPHTCH
• Giselle Marie Martinez, MS, CCC-SLP
• Silma L. Martinez, MD
• Evelyn Matta Fontanet, M.D.
• Yanializ Matta, MSW
• Medical Education Group PSC
• Medicos Aliados del Noreste

• Pediatrics Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.