Organization Active NPI

Dr David E Martinez Melendez Servicios Reumatologicos CSP

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1457513657
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
6079 Issued in PR
Legal business name
DR DAVID E MARTINEZ MELENDEZ SERVICIOS REUMATOLOGICOS CSP
Practice address
138 Ave Winston Churchill # Msc753
San Juan, PR 00926-6013
Phone
(787) 768-8944
NPI assigned
Jun 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Dr. David E Martinez, M.D.
Title
President
Phone
(787) 768-8944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 6079 PR Primary
Medical Specialty Clinic/Center 261QM2500X 6079 PR

Addresses

Primary practice location

138 Ave Winston Churchill # Msc753
San Juan, PR 00926-6013

Mailing address

138 Winston Churchill
PMB 753
San Juan, PR 00926-6023
Phone (787) 768-8944

Other identifiers 1

IdentifierTypeStateIssuer
1184613754OtherPRINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

138 Ave Winston Churchill
#753
San Juan, PR 00926
Phone (787) 768-8944

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1457513657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WINSTON CHURCHILL",
            "address_2": "PMB 753",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266023",
            "telephone_number": "787-768-8944",
            "fax_number": "787-790-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL # MSC753",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-768-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVID E MARTINEZ MELENDEZ SERVICIOS REUMATOLOGICOS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-28",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-768-8944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "6079",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "6079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184613754",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.