Individual provider Active NPI

Carlos M Martinez Rivera, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Mayaguez, PR
National Provider Identifier
1356330310
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
12424 Issued in PR
Practice address
27 Calle Nelson Perea
Ste 204, Doctor's Center
Mayaguez, PR 00680-4949
Phone
(787) 805-0595
Fax
(787) 805-0620
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 12424 PR Primary

Addresses

Primary practice location

27 Calle Nelson Perea
Ste 204, Doctor's Center
Mayaguez, PR 00680-4949

Mailing address

27 Calle Nelson Perea
Ste 204, Doctor's Center
Mayaguez, PR 00680-4949
Phone (787) 805-0595

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
I20060320000024 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 1254348063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Ponce School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Calle Dr Nelson Perea
Suite 204
Mayaguez, PR 00680-4965
Phone (787) 805-0595

Calle Nelson Perea
27 Doctors Center Suite 204
Mayaguez, PR 00680-4965

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12424PRMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Carlos M. Martinez Rivera CSP Endocrinology, Diabetes & Metabolism CurrentSince Sep 14, 2012 Accepting new patients
Pro-Health Clinical Services LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2020 Accepting new patients

Locations

27 Calle Dr Nelson Perea
Ste 204
Mayaguez, PR 00680
Phone (787) 636-9154

Organizations & group practices 2

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1356330310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE NELSON PEREA",
            "address_2": "STE 204, DOCTOR'S CENTER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804949",
            "telephone_number": "787-805-0595",
            "fax_number": "787-805-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE NELSON PEREA",
            "address_2": "STE 204, DOCTOR'S CENTER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804949",
            "telephone_number": "787-805-0595",
            "fax_number": "787-805-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RIVERA",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "12424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.