Individual provider Active NPI

Juan Carlos Martinez-Rodriguez, M.D

  • Surgery Physician
  • Bayamon, PR
National Provider Identifier
1356317911
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8967 Issued in PR
Practice address
Bayamon Medical Mall # 1845
Carr #2 St 209
Bayamon, PR 00959-7200
Phone
(787) 620-2098
Fax
(787) 779-8178
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 8967 PR Primary

Addresses

Primary practice location

Bayamon Medical Mall # 1845
Carr #2 St 209
Bayamon, PR 00959-7200

Mailing address

Bayamon Medical Mall # 1845
Carr #2 Suite 209
Bayamon, PR 00959-7200
Phone (787) 620-2098

Other identifiers 9

IdentifierTypeStateIssuer
31-08967OtherPRUIA
6230057OtherPRHUMANA INSURANCE
067100OtherPRLA CRUZ AZUL PUERTO RICO
204183OtherPRU T I
28967OtherPRCIGNA HEALTH CARE
601156OtherPRMEDICARE MUCHO MAS
6230057OtherPRHUMANA HEALTH PLAN
N-189OtherPRIMC
80449OtherPRTRIPLE S

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
I20060914000455 PR Practitioner - General Surgery 1052315520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bayamon Medical Ctr 1845 Carr
2 Suite 209
Bayamon, PR 00959-7203
Phone (787) 620-2099

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CDT G.M,S.P., Inc CurrentSince Nov 1, 2014 Accepting new patients
CDT GMSP Inc CurrentSince Nov 1, 2014 Accepting new patients
Metropolitan Surgery Center PSC Surgery CurrentSince Jan 1, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Mar 31, 2018 Accepting new patients
CDT GMSP, Inc Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Mar 31, 2018 Accepting new patients
Departamento de Salud Past Accepting new patients
Instituto de Cuidado del Seno Surgery PastSince May 26, 2006 Accepting new patients
Bayamon Medical Center Corp Past Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

1845 Carr 2
Ste 209
Bayamon, PR 00959
Phone (787) 620-2098

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1356317911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL MALL # 1845",
            "address_2": "CARR #2 SUITE 209",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-620-2098",
            "fax_number": "787-779-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL MALL # 1845",
            "address_2": "CARR #2 ST 209",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-620-2098",
            "fax_number": "787-779-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "31-08967",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6230057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL  PUERTO RICO",
            "identifier": "067100",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U T I",
            "identifier": "204183",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA  HEALTH CARE",
            "identifier": "28967",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS",
            "identifier": "601156",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "6230057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "N-189",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "80449",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.