Individual provider Active NPI

Germariliz Diaz Martinez, M.D.

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1306251491
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18794 Issued in PR
Practice address
Urb. Mendez #2
Istituto Pediatrico Oficina 5
Yabucoa, PR 00767
Phone
(787) 266-3128
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18794 PR Primary

Addresses

Primary practice location

Urb. Mendez #2
Istituto Pediatrico Oficina 5
Yabucoa, PR 00767

Mailing address

B24 Bda. Nueva
Utuado, PR 00641
Phone (787) 297-5732

Other identifiers 1

IdentifierTypeStateIssuer
4539097OtherPRDRIVER LICENSE

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
I20141219001609 PR Practitioner - Family PracticePractitioner - General Practice 6901129147 Reassigns benefits to 1 organization
Practice locations: Dorado, PR; Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Urb Jardines de Toa Alta Edificio Rio
Mall Oficina A3
Toa Alta, PR 00953
Phone (939) 649-0848

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Premier Health LLC General Practice CurrentSince Jun 4, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1306251491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B24 BDA. NUEVA",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-297-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. MENDEZ #2",
            "address_2": "ISTITUTO PEDIATRICO OFICINA 5",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-266-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MARTINEZ",
        "first_name": "GERMARILIZ",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4539097",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.