Individual provider Active NPI

Martin Iglesias, M.D.,

  • Personal Emergency Response Attendant
  • San Juan, PR
National Provider Identifier
1710002753
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
15241 Issued in PR
Practice address
112 Calle Arzuaga
Office #606
San Juan, PR 00925-3321
Phone
(787) 764-8296
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 15241 PR Primary

Addresses

Primary practice location

112 Calle Arzuaga
Office #606
San Juan, PR 00925-3321

Mailing address

1344 Calle Decatur
Second Floor
San Juan, PR 00920-3738
Phone (787) 783-8379

Other names 1

  • Dr. Martin Iglesias Other name

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
I20040804000607 PR Practitioner - General Practice 7315918224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Varmed Health Center LLCGroup PAC ID 9830578079, 5 clinicians

Practice addresses (Care Compare)

Calle Manuel F Rossy Esquina Segunda
Bayamon, PR 00960
Phone (787) 995-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15241PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Varmed Health Center LLC Current Accepting new patients
New Vision Medical Diagnostic LLC General Practice CurrentSince Jun 1, 2020 Accepting new patients
New Vision Medical Diagnostics LLC CurrentSince Jun 1, 2020 Accepting new patients
Family & OB GYN Health Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcmiglesi@yourcarecommunity.org

Organizations & group practices 5

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710002753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 CALLE DECATUR",
            "address_2": "SECOND FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203738",
            "telephone_number": "787-783-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CALLE ARZUAGA",
            "address_2": "OFFICE #606",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253321",
            "telephone_number": "787-764-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "15241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "IGLESIAS",
            "prefix": "DR.",
            "credential": "M.D.,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.