Individual provider Active NPI

Ricardo Luis Martinez-Duran, M.D.

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1548265242
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME114470 Issued in FL
Practice address
9440 SW 90TH St
Ocala, FL 34481-7488
Phone
(352) 615-7401
NPI assigned
Jun 17, 2005
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8660 PR
General Practice Physician 208D00000X ME114470 FL Primary

Addresses

Primary practice location

9440 SW 90TH St
Ocala, FL 34481-7488

Mailing address

9440 SW 90TH St
Ocala, FL 34481-7488
Phone (352) 615-7401

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
I20070306000027 PR Practitioner - Internal Medicine 2466555800 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8660PRMDPharmacist
ME114470FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Stars Medical Group LLC Internal Medicine CurrentSince Jun 26, 2022 Accepting new patients

Locations

352 Calle San Claudio
Ste 164
San Juan, PR 00926

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, 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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1548265242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 SW 90TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817488",
            "telephone_number": "352-615-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 SW 90TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817488",
            "telephone_number": "352-615-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-DURAN",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8660",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME114470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.