Individual provider Active NPI

Victor M Martinez Suarez, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1366549388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15747 Issued in PR
Practice address
418 Calle Munoz Rivera
Penuelas, PR 00624-2015
Phone
(787) 836-1683
Fax
(787) 836-1683
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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
I20061103000305 PR Practitioner - General Practice 5193722130 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Administration LLC CurrentSince Feb 1, 2024 Accepting new patients
Integrated Health Management LLC Past Accepting new patients

Locations

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

H14 Calle 1
Vega Baja, PR 00693
Phone (787) 855-5493

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15747 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

418 Calle Munoz Rivera
Penuelas, PR 00624-2015

Mailing address

PO Box 5160
Yauco, PR 00698-5160
Phone (787) 856-4550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366549388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5160",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985160",
            "telephone_number": "787-856-4550",
            "fax_number": "787-856-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CALLE MUNOZ RIVERA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006242015",
            "telephone_number": "787-836-1683",
            "fax_number": "787-836-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SUAREZ",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.