Edgardo David Martinez Morales, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

21474 Issued in PR

Practice address

Centro Medico de Puerto Rico
San Juan, PR 00935-0001

Phone

(787) 777-3535

NPI assigned

Jun 18, 2017

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
• Nueva Vida de la Salud Home Care Corp Home health agency, Bayamon, PR, CCN 407035
• CMS Home Care Norte, LLC Home health agency, Hatillo, PR, CCN 407052

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Athletic Training and Rehab Center LLC

  • Rehabilitation Clinic/Center
  • Bayamon, PR
  • NPI 1780123117
  NPD (past)
• Clinica de Terapia Fisica Nogal

  • Physical Therapist
  • Bayamon, PR
  • NPI 1154476893
  NPD (past)
• Nelson Colon MD PSC

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1023080611
  NPD (past)
• Pediatrics & Sports Medicine P.S.C.

  • Pediatric Sports Medicine Physician
  • Bayamon, PR
  • NPI 1245665140
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CMS Home Care Norte, LLC

  • Home Health Agency
  • Hatillo, PR
  • NPI 1215486964
  Care Compare affiliation
• Corporacion Las Vegas, LLC

  • Home Health Agency
  • Manati, PR
  • NPI 1659364248
  Care Compare affiliation
• Nueva Vida de la Salud Home Care Corp

  • Home Health Agency
  • Bayamon, PR
  • NPI 1902167703
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1710417100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 498",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-480-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MORALES",
        "first_name": "EDGARDO",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "21474",
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "PR",
            "license": "21474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahomi Martinez Laboy, M.S.
• Mariela Alexandra Martinez Lebron, D.M.D
• Yarimar Martinez Marrero, OTL
• Fransheska Martinez Medina, OD
• Ivelisse Martinez Montalvo
• Ricardo Alberto Martinez Otero
• Kalisha Zuanea Martinez Pena
• Juan Carlos Martinez Piloto Sr.
• Jose Julian Martinez Ramos, MD
• Cristina F Martinez Recio, M.D.

• Physical Medicine & Rehabilitation Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.