Individual provider Active NPI

Paola De Jesus Martinez

  • Pediatric Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1558801902
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
22817 Issued in PR
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PSC 18 clinicians
Am Acquisition I, LLC 7 clinicians

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 Hospital, Santurce, PR, CCN 400006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22817PRMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC Anesthesiology Current Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Dec 15, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.