Individual provider Active NPI

Maga Martinez-Vazquez, MD

  • Obstetrics & Gynecology Physician
  • Dorado, PR
National Provider Identifier
1760624696
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20779 Issued in PR
Practice address
Plaza Dorada Shopping
845 Carr 693 Suite 24
Dorado, PR 00646
Phone
(787) 621-3322
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20779 PR Primary

Addresses

Primary practice location

Plaza Dorada Shopping
845 Carr 693 Suite 24
Dorado, PR 00646

Mailing address

Dorado del Mar
88 Villas de Golf Este
Dorado, PR 00646
Phone (939) 640-1431

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
I20140114000585 PR Practitioner - Obstetrics/Gynecology 0749418077 Reassigns benefits to 1 organization
Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 Carr
693 Suite 24
Dorado, PR 00646-6709
Phone (787) 667-1832

Hospital & facility affiliations

  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20779PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maga Martinez PSC Obstetrics & Gynecology CurrentSince Mar 18, 2018 Accepting new patients
Dr. Javier O. Perez P.S.C Gynecology PastSince Mar 18, 2018 Accepting new patients

Locations

845 Carr 693
Ste 24
Dorado, PR 00646
Phone (787) 626-2233

Interoperability endpoints

  • Direct secure messaging: mmartinezvazquez@2621.securemail.prognocis.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1760624696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DORADO DEL MAR",
            "address_2": "88 VILLAS DE GOLF ESTE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-640-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DORADA SHOPPING",
            "address_2": "845 CARR 693 SUITE 24",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-621-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-VAZQUEZ",
        "first_name": "MAGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "20779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.