Individual provider Active NPI

Mayra I Rodriguez Martinez, M.D.

  • Internal Medicine Physician
  • Manati, PR
National Provider Identifier
1619931722
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12770 Issued in PR
Practice address
Carr No. 2 KM 47.7
Doctors Center Hospital
Manati, PR 00674-4700
Phone
(787) 854-3322
NPI assigned
Apr 14, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12770 PR Primary

Addresses

Primary practice location

Carr No. 2 KM 47.7
Doctors Center Hospital
Manati, PR 00674-4700

Mailing address

PO Box 140417
Arecibo, PR 00614-0417
Phone (787) 241-7069

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
I20101123000140 PR Practitioner - Internal Medicine 9931395480 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Carr
2 KM
Manati, PR 00674-4894
Phone (787) 621-3378

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12770PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mayra.rodriguezmartinez@2621.securemail.prognocis.com

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 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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1619931722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140417",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140417",
            "telephone_number": "787-241-7069",
            "fax_number": "787-621-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NO. 2 KM 47.7",
            "address_2": "DOCTORS CENTER HOSPITAL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744700",
            "telephone_number": "787-854-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MARTINEZ",
        "first_name": "MAYRA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.