Active NPI
Carlos E Martinez Duran, MD
- Internal Medicine Physician
- Bayamon, PR
National Provider Identifier
1700863420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8721
- Practice address
- 73 Calle Santa Cruz
Ste 106
Bayamon, PR 00961-6910 - Phone
- (787) 786-3592
- Fax
- (787) 786-3506
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8721 | PR | Primary |
Addresses
Primary practice location
73 Calle Santa Cruz
Ste 106
Bayamon, PR 00961-6910
Mailing address
PO Box 70250
Ste 134
San Juan, PR 00936-8250
Phone (787) 786-3592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82390MA | Other | SSS |
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 |
|---|---|---|---|---|
| I20130819000596 | PR | Practitioner - Internal Medicine | 7012159213 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Acquisition I, LLC | 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.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1700863420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70250",
"address_2": "STE 134",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009368250",
"telephone_number": "787-786-3592",
"fax_number": "787-786-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CALLE SANTA CRUZ",
"address_2": "STE 106",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616910",
"telephone_number": "787-786-3592",
"fax_number": "787-786-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ DURAN",
"first_name": "CARLOS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "8721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "82390MA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Karla Judith Martinez Alicea
- Adriana Isabel Martinez Carrasquillo, PT, DPT
- Eric Martinez Colon, MD
- Sylvia M. Martinez Cruz
- Amanda Martinez Detres, MD
- Carmen Nina Martinez Geigel, PH.D.
- Gabriela Nicole Martinez Lopez
- Hector Martinez Martinez, MD
- Kamyr M Martinez Ramirez, DMD
- Guillermo Emilio Martinez Rios, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.