Active NPI
Maribel Rodriguez-Martinez, M.D.
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1730125410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13316
- Practice address
- 715 Ave Ponce de Leon
San Juan, PR 00918-1607 - Phone
- (787) 758-2000
- Fax
- (787) 771-7869
- NPI assigned
- Jun 21, 2006
- Last updated
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13316 | PR | |
| Specialist | 174400000X | 0101-049298 | VA | |
| Emergency Medicine Physician | 207P00000X | 13316 | PR | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 13316 | PR | |
| Hospitalist Physician | 208M00000X | 13316 | PR |
Addresses
Primary practice location
715 Ave Ponce de Leon
San Juan, PR 00918-1607
Mailing address
PO Box 366210
San Juan, PR 00936-6210
Phone (787) 758-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-049298 | VA | MD | Specialist |
| 13316 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingleside Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Kingsford Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Southern Virginia LLP | Emergency Medicine | Current | Accepting new patients |
| Kingsford Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
| Emergenciologos Para Puerto Rico,CSP | Pediatric Emergency Medicine | Past | Accepting new patients |
| Valley Emergency Medical Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
| Valley Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
Locations
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593
2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Galax, VA
- NPI 1417187667
-
- Emergency Medicine Physician
- Low Moor, VA
- NPI 1144712662
-
- Emergency Medicine Physician
- Pulaski, VA
- NPI 1336631480
-
- Hospitalist Physician
- Pulaski, VA
- NPI 1871088526
-
- Children's Hospital
- San Juan, PR
- NPI 1952314296
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bayamon, PR
- NPI 1346466836
Pediatric Emergency Medicine
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1801837299
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1407121080
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1730125410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366210",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009366210",
"telephone_number": "787-758-2000",
"fax_number": "787-771-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009181607",
"telephone_number": "787-758-2000",
"fax_number": "787-771-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-MARTINEZ",
"first_name": "MARIBEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "13316",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101-049298",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "13316",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "PR",
"license": "13316",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PR",
"license": "13316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Reynaldo Rodriguez-Llauger, M.D.
- Ibis Noelia Rodriguez-Longo, PHARMD
- Joshua Louis Rodriguez-Lopez, M.D.
- Mary Joahn Rodriguez-Malave, MD, MPH
- Karen A Rodriguez-Maldonado, PHARM D.
- Yaraliz Rodriguez-Martinez, R.PH.
- Jose M. Rodriguez-Medina, MD, PHD
- Rafael Rodriguez-Mercado, M.D.
- Carla Patricia Rodriguez-Monserrate, MD
- Maria Rodriguez-Muniz, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.