Individual provider Active NPI

Evelisa Martinez Sanchez, M.D.

  • Diagnostic Radiology Physician
  • Caguas, PR
National Provider Identifier
1750419974
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13828 Issued in PR
Practice address
4000 Ave. Suite 84
Lakeview Estates
Caguas, PR 00725
Phone
(787) 704-1852
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13828 PR Primary

Addresses

Primary practice location

4000 Ave. Suite 84
Lakeview Estates
Caguas, PR 00725

Mailing address

4000 Ave. Suite 84
Lakeview Estates
Caguas, PR 00725
Phone (787) 704-1852

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
I20160224001137 PR Practitioner - Diagnostic Radiology 5496050759 Reassigns benefits to 3 organizations
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University Central del Caribe Escuela de Medicina, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Radiodiagnostico de Carolina LLCGroup PAC ID 4587027792, 6 clinicians
Barranquitas Ultra Sound and Mammography Center IncGroup PAC ID 4385960962, 2 clinicians
Demadi PSCGroup PAC ID 9436348570, 7 clinicians
DJM Imaging Center LLCGroup PAC ID 7012197403, 6 clinicians

Practice addresses (Care Compare)

10000 Ave 65 Infranteria
Carolina Shopping Court Oficina 023a
Carolina, PR 00985
Phone (787) 257-0677

12 Calle Padre Berrios
Barranquitas, PR 00794-1840
Phone (787) 857-3900

Arterial Hostos Esq 249 Ave Chardon
Primer Nivel Edif Hector N Acevedo
San Juan, PR 00918
Phone (787) 701-1180

Carretera 2 Int 167 Cond Gallardo Tow
Bayamon, PR 00961-6366
Phone (787) 785-8034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13828PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
De Jesus & Matos Medical Imaging Professionals, PSC Diagnostic Radiology CurrentSince Feb 2, 2016 Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology CurrentSince Feb 2, 2016 Accepting new patients
Cusa Radiology Group LLC Diagnostic Radiology CurrentSince Jan 26, 2025 Accepting new patients
Demadi PSC Diagnostic Radiology CurrentSince Aug 7, 2018 Accepting new patients
Erad, LLC Diagnostic Radiology Current Accepting new patients
Centro Radiodiagnostico de Carolina LLC Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients

Locations

509 Ave Tito Castro
Ponce, PR 00716
Phone (787) 840-5090

Organizations & group practices 7

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1750419974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 AVE. SUITE 84",
            "address_2": "LAKEVIEW ESTATES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 AVE. SUITE 84",
            "address_2": "LAKEVIEW ESTATES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SANCHEZ",
        "first_name": "EVELISA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "13828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.