Organization Active NPI

Dr Jose E Martinez Campos CSP

  • Medical Specialty Clinic/Center
  • Juana Diaz, PR
National Provider Identifier
1417599663
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DR JOSE E MARTINEZ CAMPOS CSP
Practice address
Calle Hostos #5
Juana Diaz, PR 00795
Phone
(787) 260-4949
Fax
(787) 260-4949
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Dr. Jose E Martinez Campos, CSPNPI 1750468245
Title
Presidente
Phone
(787) 260-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

Calle Hostos #5
Juana Diaz, PR 00795

Mailing address

PO Box 801085
Coto Laurel, PR 00780-1085
Phone (787) 260-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210309000843 PR Part B Supplier - Clinic/Group Practice 7315353844 Receives reassigned benefits from 1 practitioner
Practice locations: Juana Diaz, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1417599663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801085",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801085",
            "telephone_number": "787-260-4949",
            "fax_number": "787-260-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HOSTOS #5",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-260-4949",
            "fax_number": "787-260-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSE E MARTINEZ CAMPOS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ CAMPOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-260-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CSP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.