Individual provider Active NPI

Eduardo Antonio Martinez-Martinez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mayaguez, PR
National Provider Identifier
1417148446
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
17045 Issued in PR
Practice address
Clinica Espanola
Bo. Balboa Sector la Quinta
Mayaguez, PR 00681-0000
Phone
(787) 550-6855
NPI assigned
Aug 6, 2007
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 17045 PR Primary

Addresses

Primary practice location

Clinica Espanola
Bo. Balboa Sector la Quinta
Mayaguez, PR 00681-0000

Mailing address

PO Box 8010
Marina Station
Mayaguez, PR 00681-8010
Phone (787) 550-6855

Other identifiers 1

IdentifierTypeStateIssuer
1417148446OtherPRTRIPLE-S

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
I20080717000534 PR Practitioner - Physical Medicine and Rehabilitation 6709959182 Receives reassigned benefits from 3 practitioners
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Ave Hostos
Suite 201
Mayaguez, PR 00682-2522
Phone (787) 831-0460

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Eduardo a. Martinez Dba Physical Medicine & Rehabilitation PastSince May 10, 2008 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 3

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1417148446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8010",
            "address_2": "MARINA STATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006818010",
            "telephone_number": "787-550-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA ESPANOLA",
            "address_2": "BO. BALBOA SECTOR LA QUINTA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810000",
            "telephone_number": "787-550-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MARTINEZ",
        "first_name": "EDUARDO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "17045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "1417148446",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.