Individual provider Active NPI

Julia S Vazquez Martirena, M.D.

  • Cardiovascular Disease Physician
  • Cidra, PR
National Provider Identifier
1497964878
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13039 Issued in PR
Practice address
27 Calle Baldorioty
Cidra, PR 00739-3428
Phone
(787) 714-2310
Fax
(787) 714-2365
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13039 PR
Cardiovascular Disease Physician 207RC0000X 13039 PR Primary

Addresses

Primary practice location

27 Calle Baldorioty
Cidra, PR 00739-3428

Mailing address

27 Calle Baldorioty
Cidra, PR 00739-3428
Phone (787) 714-2310

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
I20050316000537 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375598931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Calle Baldorioty
Cidra, PR 00739-3428
Phone (787) 714-2310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13039PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Cardiovascular MD C S P Cardiovascular Disease CurrentSince Mar 11, 2011 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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1497964878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE BALDORIOTY",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393428",
            "telephone_number": "787-714-2310",
            "fax_number": "787-714-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE BALDORIOTY",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393428",
            "telephone_number": "787-714-2310",
            "fax_number": "787-714-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ MARTIRENA",
        "first_name": "JULIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13039",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.