Active NPI
Lisbeth Reyes Martinez
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1811094139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11471
- Practice address
- Carr 174 Bloque 21 #25
Santa Rosa
Bayamon, PR 00959 - Phone
- (787) 862-4124
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11471 | PR | Primary |
Addresses
Primary practice location
Carr 174 Bloque 21 #25
Santa Rosa
Bayamon, PR 00959
Mailing address
MF7 Plaza 23
Monteclaro
Bayamon, PR 00961-4738
Phone (787) 862-4124
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8195 | Other | PR | FEDERACION DE MAESTROS |
| 0300 | Other | PR | INTERNATIONAL MEDICAL CAR |
| PG3256 | Other | PR | PALIC |
| 0010857 | Other | PR | HUMANA |
| 060201 | Other | PR | CRUZ AZUL |
| 201953 | Other | PR | PREFERRED HEALTH |
| 88671 | Other | PR | TRIPLE SSS, INC |
| 8977 | Other | PR | UNITED HEALTH CARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21 -25 Carr
Suite 174
Bayamon, PR 00959-6766
Phone (787) 288-0903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Medical Services LLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Bayamon, PR
- NPI 1124675582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1811094139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MF7 PLAZA 23",
"address_2": "MONTECLARO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009614738",
"telephone_number": "787-862-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 174 BLOQUE 21 #25",
"address_2": "SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-862-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES MARTINEZ",
"first_name": "LISBETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERACION DE MAESTROS",
"identifier": "8195",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "0300",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC",
"identifier": "PG3256",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "0010857",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "060201",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "201953",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE SSS, INC",
"identifier": "88671",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "8977",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.