Individual provider Active NPI

Juan Jose Martinez-Orraca, M.D.

  • Family Medicine Physician
  • Vega Baja, PR
National Provider Identifier
1336219351
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9752 Issued in PR
Practice address
419 Avenida Felisa Rincon
Urbanizacion San Demetrio
Vega Baja, PR 00693-3376
Phone
(787) 855-2767
Fax
(787) 855-2767
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9752 PR Primary

Addresses

Primary practice location

419 Avenida Felisa Rincon
Urbanizacion San Demetrio
Vega Baja, PR 00693-3376

Mailing address

419 Ave. Felisa Rincon de Gautier
Urb. San Demetrio
Vega Baja, PR 00693-3376
UM
Phone (787) 399-0036

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
I20120209000057 PR Practitioner - Family Practice 6002073657 Practice locations: Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

419 Ave Felisa Rincon
Vega Baja, PR 00693-3376
Phone (787) 855-2767

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9752PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1336219351",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "419 AVE. FELISA RINCON DE GAUTIER",
            "address_2": "URB. SAN DEMETRIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933376",
            "telephone_number": "787-399-0036",
            "fax_number": "787-855-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 AVENIDA FELISA RINCON",
            "address_2": "URBANIZACION SAN DEMETRIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933376",
            "telephone_number": "787-855-2767",
            "fax_number": "787-855-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-ORRACA",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.