Active NPI
Paola De Jesus Martinez
- Pediatric Anesthesiology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 22817
- Practice address
- Centro Medico de Puerto Rico
San Juan, PR 00935-3276 - Phone
- (787) 236-4903
- NPI assigned
- Mar 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 22817 | PR | |
| Pediatric Anesthesiology Physician | 207LP3000X | 22817 | PR | Primary |
Addresses
Primary practice location
Centro Medico de Puerto Rico
San Juan, PR 00935-3276
Mailing address
137 Calle Reina Maria
La Villa de Torrimar
Guaynabo, PR 00969-3276
Phone (787) 236-4903
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250212002954 | PR | Practitioner - Anesthesiology | 6608306147 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medical Services PSCAm Acquisition I, LLC
Practice addresses (Care Compare)
1395 Calle San Rafael
San Juan, PR 00909-2518
Phone 78785433221191
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 624-4762
Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone 78785433221191
PO Box
Suite 30532
Manati, PR 00674-8513
Hospital & facility affiliations
- Doctors' Center Hospital San Juan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22817 | PR | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medical Services, PSC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medical Services, PSC | Current | Accepting new patients |
Locations
1395 Calle San Rafael
Santurce, PR 00909
Phone (787) 303-5410
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Manati, PR
- NPI 1841797743
Anesthesiology, PR
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
-
- Emergency Medical Services (Emergency Medicine) Physician
- Manati, PR
- NPI 1356639546
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Juan, PR
- NPI 1205539558
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1558801902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 CALLE REINA MARIA",
"address_2": "LA VILLA DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693276",
"telephone_number": "787-236-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO MEDICO DE PUERTO RICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009353276",
"telephone_number": "787-236-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS MARTINEZ",
"first_name": "PAOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-05",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "22817",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "PR",
"license": "22817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Maribell De Jesus Alvarez, MSW
- Rosa Maria De Jesus Burgos Sr., DMD
- Siulmary Luisa De Jesus Caban, FNP-C
- Lorna L. De Jesus Cartagena
- Isaias De Jesus Concepcion
- Jose R De Jesus Melendez, MD
- Jorge R De Jesus Miranda, MD
- Nelson De Jesus Ramos, M.D.
- Carmen C De Jesus Rivera, MD
- Edgar Alexis De Jesus Rodriguez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.