Individual provider Active NPI

Joel Santiago Martinez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Manati, PR
National Provider Identifier
1568815306
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
21923 Issued in PR
Practice address
Carr #2 KM 47.7
Torre Medica 1, Edif Dr. Pedro Blanco Lugo Suite 316
Manati, PR 00674
Phone
(787) 884-2445
Fax
(787) 854-2636
NPI assigned
Jul 17, 2016
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 21923 PR Primary

Addresses

Primary practice location

Carr #2 KM 47.7
Torre Medica 1, Edif Dr. Pedro Blanco Lugo Suite 316
Manati, PR 00674

Mailing address

HC 74 Box 6669
Cayey, PR 00736-9111
Phone (939) 269-3775

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
I20210803003327 PR Practitioner - Pathology 1254735921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Ponce School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Pathology CSPGroup PAC ID 9739348335, 5 clinicians

Practice addresses (Care Compare)

Torre Medica I Dr Pedro
Manati, PR 00674-4862
Phone (787) 884-2445

Hospital & facility affiliations

National Provider Directory

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

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.

Hospital & facility affiliations 3

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": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1568815306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 74 BOX 6669",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369111",
            "telephone_number": "939-269-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 47.7",
            "address_2": "TORRE MEDICA 1, EDIF DR. PEDRO BLANCO LUGO SUITE 316",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-2445",
            "fax_number": "787-854-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MARTINEZ",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-17",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "21923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.