Active NPI
Antonio Martinez, M.D.
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1326077686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 8520
- Practice address
- 400 Ave Domenech
Las Americas Professional Center Suite 510
San Juan, PR 00918-3710 - Phone
- (787) 765-4900
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 8520 | PR | Primary |
Addresses
Primary practice location
400 Ave Domenech
Las Americas Professional Center Suite 510
San Juan, PR 00918-3710
Mailing address
400 Ave Domenech
Las Americas Professional Center Suite 510
San Juan, PR 00918-3710
Phone (787) 765-4900
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378520 | Other | PR | UIA |
| 9080033 | Other | PR | HUMANA HEALTH PLAN |
| 3592 | Other | PR | FIRST MEDICAL |
| PE2656 | Other | PR | PALIC PROVIDER |
| 17645 | Other | PR | PROSSAM |
| 9080033 | Other | PR | HUMANA INSURANCE |
| 209118 | Other | PR | PREFERRED HEALTH |
| 80411 | Other | PR | TRIPLE S |
| 067407 | Other | PR | CRUZ AZUL DE PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8520 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326077686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 AVE DOMENECH",
"address_2": "LAS AMERICAS PROFESSIONAL CENTER SUITE 510",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183710",
"telephone_number": "787-765-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVE DOMENECH",
"address_2": "LAS AMERICAS PROFESSIONAL CENTER SUITE 510",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183710",
"telephone_number": "787-765-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "8520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "378520",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "9080033",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "3592",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC PROVIDER",
"identifier": "PE2656",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSSAM",
"identifier": "17645",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "9080033",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "209118",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "80411",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PR",
"identifier": "067407",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.