Active NPI
Marta Medina, MD
- Psychiatry Physician
- Humacao, PR
National Provider Identifier
1376672253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12517
- Practice address
- Humacao Medical Plaza Ave. Font Martelo 53 Suite 203
Humacao, PR 00791 - Phone
- (787) 285-1270
- Fax
- (787) 285-1970
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12517 | PR | Primary |
Addresses
Primary practice location
Humacao Medical Plaza Ave. Font Martelo 53 Suite 203
Humacao, PR 00791
Mailing address
Humacao Medical Plaza Ave. Font Martelo 53 Suite 203
Humacao, PR 00791
Phone (787) 285-1270
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120612000321 | PR | Practitioner - Psychiatry | 8628232246 | Practice locations: Caguas, PR; Condado, PR; Humacao, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Ponce School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Calle Munoz Rivera
Suite 313
Caguas, PR 00725-2604
Phone (787) 636-2850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1376672253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HUMACAO MEDICAL PLAZA AVE. FONT MARTELO 53 SUITE 203",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-285-1270",
"fax_number": "787-285-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUMACAO MEDICAL PLAZA AVE. FONT MARTELO 53 SUITE 203",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-285-1270",
"fax_number": "787-285-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MARTA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "12517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.