Eliseo Martinez - Gonzalez, M.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

593 Issued in PR

Practice address

10 Calle Candina
Apt 7-a
San Juan, PR 00907-1404

Phone

(787) 722-0386

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1477732931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366008",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366008",
            "telephone_number": "787-722-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CANDINA",
            "address_2": "APT 7-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071404",
            "telephone_number": "787-722-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ - GONZALEZ",
        "first_name": "ELISEO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S PROVIDER ID",
            "identifier": "40572",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Federico Martin Garcia, MD
• Jose Martin Ortiz
• Karla Michelle Martin Ortiz
• Alberto Javier Martin-Rodriguez, MEDICAL STUDENT
• Jose C. Martin, M.D.
• Raul Luis Martinez Aponte
• Victor Alberto Martinez Aponte, MD
• Cristina Angely Martinez Arce
• Edgardo Gabriel Martinez Berdecia, MD
• Yariliz Nicole Martinez Blasini

• Periodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.