Individual provider Active NPI

Christopher Lee Martinez Rivera

  • Student in an Organized Health Care Education/Training Program
  • San Juan, PR
National Provider Identifier
1811635774
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5 Santa Cecilia St
Ocean Park Urb
San Juan, PR 00911
Phone
(939) 224-9278
NPI assigned
May 21, 2022
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5 Santa Cecilia St
Ocean Park Urb
San Juan, PR 00911

Mailing address

5 Santa Cecilia St
Ocean Park Urb
San Juan, PR 00911
Phone (939) 224-9278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240628001001 LA Order and Referring Only - General SurgeryPractitioner - General Surgery 9830633023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: cmartinezrivera5286499@direct.casso.us.com

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1811635774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SANTA CECILIA ST",
            "address_2": "OCEAN PARK URB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "939-224-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SANTA CECILIA ST",
            "address_2": "OCEAN PARK URB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "939-224-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RIVERA",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.