Organization Active NPI

Maga Martinez PSC

  • Obstetrics & Gynecology Physician
  • Dorado, PR
National Provider Identifier
1356875926
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
020779 Issued in PR
Legal business name
MAGA MARTINEZ PSC
Practice address
845 Carr 693
Plaza Dorada Suite 24
Dorado, PR 00646
Phone
(939) 640-1431
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Maga Marttinez, M.D.
Title
President
Phone
(939) 640-1431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 020779 PR Primary

Addresses

Primary practice location

845 Carr 693
Plaza Dorada Suite 24
Dorado, PR 00646

Mailing address

88 Villa Este
Dorado del Mar
Dorado, PR 00646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415001866 PR Part B Supplier - Clinic/Group Practice 4385985662 Receives reassigned benefits from 1 practitioner
Practice locations: Dorado, PR

National Provider Directory

National Provider Directory

Locations

845 Carr 693
Ste 24
Dorado, PR 00646
Phone (787) 667-1832

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1356875926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 VILLA ESTE",
            "address_2": "DORADO DEL MAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CARR 693",
            "address_2": "PLAZA DORADA SUITE 24",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-640-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGA MARTINEZ PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTTINEZ",
        "authorized_official_first_name": "MAGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-640-1431",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "020779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.