Active NPI
Wilson Martell Jovet
- Hearing Aid Equipment
- Carolina, PR
National Provider Identifier
1619636982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Practice address
- Avenida Jose Fidalgo Diaz
4SS6 Villa Fontana
Carolina, PR 00983 - Phone
- (787) 776-3511
- Fax
- (787) 757-2039
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | Primary |
Addresses
Primary practice location
Avenida Jose Fidalgo Diaz
4SS6 Villa Fontana
Carolina, PR 00983
Mailing address
PO Box 94
Carolina, PR 00986-0094
Phone (787) 776-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FJ487A | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CAROLINA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martell Enterprises Inc | Hearing Aid Equipment | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1619636982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009860094",
"telephone_number": "787-776-3511",
"fax_number": "787-757-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA JOSE FIDALGO DIAZ",
"address_2": "4SS6 VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-776-3511",
"fax_number": "787-757-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELL JOVET",
"first_name": "WILSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FJ487A",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CAROLINA",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "AVENIDA JOSE FIDALGO DIAZ",
"address_2": "4ss6 VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"country_code": "US",
"postal_code": "00983",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.