Individual provider Active NPI

Maria De Lourdes Martinez - Taboas, M.D.

  • Psychiatry Physician
  • Caguas, PR
National Provider Identifier
1326183047
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13047 Issued in PR
Practice address
Avenida Jose Mercado
Esquina Cristobal Colon
Caguas, PR 00725
Phone
(787) 384-7324
NPI assigned
Feb 20, 2007
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 13047 PR Primary

Addresses

Primary practice location

Avenida Jose Mercado
Esquina Cristobal Colon
Caguas, PR 00725

Mailing address

Avenida Jose Mercado
Esquina Cristobal Colon
Caguas, PR 00725
Phone (787) 384-7324

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
I20150615000716 PR Practitioner - Psychiatry 8729399910 Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13047PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Capestrano Hospital Inc. Past Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1739404800000",
    "number": "1326183047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA JOSE MERCADO",
            "address_2": "ESQUINA CRISTOBAL COLON",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-384-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA JOSE MERCADO",
            "address_2": "ESQUINA CRISTOBAL COLON",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-384-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ - TABOAS",
        "first_name": "MARIA",
        "middle_name": "DE LOURDES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "13047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.