Individual provider Active NPI

Rafael A Martir-Guevara, M.D

  • Gastroenterology Physician
  • Ponce, PR
National Provider Identifier
1508996562
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6905 Issued in PR
Practice address
Santa Maria Medical
450 Calle Ferrocarril, Ste. 210
Ponce, PR 00717-1105
Phone
(787) 844-1244
Fax
(787) 841-6849
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 6905 PR Primary

Addresses

Primary practice location

Santa Maria Medical
450 Calle Ferrocarril, Ste. 210
Ponce, PR 00717-1105

Mailing address

Santa Maria Medical
450 Calle Ferrocarril, Ste. 210
Ponce, PR 00717-1105
Phone (787) 844-1244

Other identifiers 1

IdentifierTypeStateIssuer
6905OtherPRMEDICAL LICENSE

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
I20120409000607 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 9133143456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponce Gastroenterology SocietyGroup PAC ID 7517979032, 3 clinicians
Instituto de Endoscopia Digestiva del SurGroup PAC ID 8224052527, 2 clinicians

Practice addresses (Care Compare)

450 Calle Ferrocarril
Suite 210
Ponce, PR 00717-1105
Phone (787) 840-0100

450 Calle Ferrocarril
Suite 216
Ponce, PR 00717-4105
Phone (787) 848-5897

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6905PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Endoscopia Digestiva del Sur Gastroenterology CurrentSince Jan 21, 2014 Accepting new patients
Ponce Gastroenterology Society Gastroenterology CurrentSince Dec 20, 1985 Accepting new patients

Locations

450 Calle Ferrocarril
Ste 210
Ponce, PR 00717
Phone (787) 840-0100

450 Calle Ferrocarril
Ste 216
Ponce, PR 00717
Phone (787) 848-5897

Organizations & group practices 2

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508996562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA MARIA MEDICAL",
            "address_2": "450 CALLE FERROCARRIL, STE. 210",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-844-1244",
            "fax_number": "787-841-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA MARIA MEDICAL",
            "address_2": "450 CALLE FERROCARRIL, STE. 210",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-844-1244",
            "fax_number": "787-841-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIR-GUEVARA",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "6905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "6905",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.