Individual provider Active NPI

Marcelo Oben Martinez, MD

  • Surgery Physician
  • Aguadilla, PR
National Provider Identifier
1386705341
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6204 Issued in PR
Practice address
25 Ave Severiano Cuevas
Aguadilla, PR 00603-5713
Phone
(787) 891-8090
Fax
(787) 891-8190
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6204 PR Primary

Addresses

Primary practice location

25 Ave Severiano Cuevas
Aguadilla, PR 00603-5713

Mailing address

25 Ave Severiano Cuevas
Aguadilla, PR 00603-5713
Phone (787) 891-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6204PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cirujanos Unidos del Noroeste Surgery PastSince Jun 25, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1386705341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 AVE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035713",
            "telephone_number": "787-891-8090",
            "fax_number": "787-891-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 AVE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035713",
            "telephone_number": "787-891-8090",
            "fax_number": "787-891-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEN MARTINEZ",
        "first_name": "MARCELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.