Individual provider Active NPI

Guillermo Emilio Martinez Rios, MD

  • Otolaryngology Physician
  • Bayamon, PR
National Provider Identifier
1760474092
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8265 Issued in PR
Practice address
Edificio Medico Hermanas Davila
16 Calle B Ste 105
Bayamon, PR 00959-5041
Phone
(787) 740-0120
Fax
(787) 785-7787
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 8265 PR Primary

Addresses

Primary practice location

Edificio Medico Hermanas Davila
16 Calle B Ste 105
Bayamon, PR 00959-5041

Mailing address

Edificio Medico Hermanas Davila
16 Calle B Ste 105
Bayamon, PR 00959-5041
Phone (787) 740-0120

Other identifiers 2

IdentifierTypeStateIssuer
29485MedicaidPR
0029485OtherPRPTAN

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
I20040514001105 PR Practitioner - Otolaryngology 1456341015 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edificio Medico Hermanas Davila
16 Calle B Suite 105
Bayamon, PR 00959-5041
Phone (787) 740-0120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8265PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1760474092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO HERMANAS DAVILA",
            "address_2": "16 CALLE B STE 105",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595041",
            "telephone_number": "787-740-0120",
            "fax_number": "787-785-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO HERMANAS DAVILA",
            "address_2": "16 CALLE B STE 105",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595041",
            "telephone_number": "787-740-0120",
            "fax_number": "787-785-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RIOS",
        "first_name": "GUILLERMO",
        "middle_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "8265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29485",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0029485",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.