Luis Martinez-Sierra, M.D.

Individual provider Active NPI Gastroenterology Physician · Ponce, PR

NPI 1376673335 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1376673335
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
4589 (PR)
Practice address
Santa Maria Medical
450 Calle Ferrocarril, Ste 210
Ponce, PR 00717-1105
Phone
(787) 840-5042
Fax
(787) 841-6849
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

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 Care Compare profile

Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponce Gastroenterology Society (3 clinicians)
Instituto de Endoscopia Digestiva del Sur (2 clinicians)

Practice addresses (Care Compare)

450 Calle Ferrocarril
Suite 210
Ponce, PR 00717-1105
Phone (787) 840-0100

450 Calle Ferrocarril
Suite 216
Ponce, PR 00717-4105
Phone (787) 848-5897

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux24

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120228000567 PR Practitioner - Gastroenterology 6305860628 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4589PRMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Endoscopia Digestiva del Sur Gastroenterology Current
since Jan 25, 2006
Accepting new patients
Ponce Gastroenterology Society Gastroenterology Current
since Oct 1, 1984
Accepting new patients

Locations

450 Calle Ferrocarril
Ste 216
Ponce, PR 00717
Phone (787) 848-5897

450 Calle Ferrocarril
Ste 210
Ponce, PR 00717
Phone (787) 840-0100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4589 PR Yes

Addresses

Primary practice location

Santa Maria Medical
450 Calle Ferrocarril, Ste 210
Ponce, PR 00717-1105

Mailing address

Santa Maria Medical
450 Calle Ferrocarril, Ste 210
Ponce, PR 00717-1105
Phone (787) 840-5042

Other identifiers

IdentifierTypeStateIssuer
4589OtherPRMEDICAL LICENSE

Other providers in Ponce, PR

All providers in Ponce, PR · Gastroenterology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.