Individual provider Active NPI

Aidalis Andino-Martinez

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1336878644
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23384 Issued in PR
Practice address
Calle Manuel F. Rossy
Esquina Isabel II
Bayamon, PR 00960
Phone
(787) 212-6944
NPI assigned
Jun 10, 2022
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 23384 PR Primary

Addresses

Primary practice location

Calle Manuel F. Rossy
Esquina Isabel II
Bayamon, PR 00960

Mailing address

PO Box 10283
Humacao, PR 00792-1283
Phone (787) 212-6944

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
I20240305003333 PR Practitioner - General Practice 5890130462 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. General Practice CurrentSince Dec 13, 2024 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Neomed Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Professional Medical Center, LLC CurrentSince Feb 23, 2024 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Dec 13, 2024 Accepting new patients
Neomed Center, Inc CurrentSince Sep 1, 2025 Accepting new patients
Instituto Psicoterapeutico de PR General Practice PastSince Dec 13, 2024 Accepting new patients

Locations

130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120

Organizations & group practices 8

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1336878644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10283",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007921283",
            "telephone_number": "787-212-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL F. ROSSY",
            "address_2": "ESQUINA ISABEL II",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-212-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO-MARTINEZ",
        "first_name": "AIDALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.