Individual provider Active NPI

Martin I Gorrochategui

  • Vascular & Interventional Radiology Physician
  • Santurce, PR
National Provider Identifier
1841443553
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
17366 Issued in PR
Practice address
1760 Calle Loiza
Ste 205
Santurce, PR 00911-1867
Phone
(305) 297-4377
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 17366 PR Primary

Addresses

Primary practice location

1760 Calle Loiza
Ste 205
Santurce, PR 00911-1867

Mailing address

660 Calle Estado Apt a
San Juan, PR 00907-3533
Phone (305) 297-4377

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
I20140821002158 PR Practitioner - Diagnostic RadiologyPractitioner - Other (Physician)Practitioner - Interventional Radiology 5597983239 Reassigns benefits to 2 organizations
Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Ponce School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104
  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001
  • Hospital Menonita de Aibonito Hospital, Aibonito, PR, CCN 400018
  • Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17366PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Current Accepting new patients
Hospital Menonita Caguas Inc Vascular & Interventional Radiology CurrentSince Jun 9, 2024 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 10, 2021 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jun 9, 2024 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 10, 2021 Accepting new patients

Organizations & group practices 5

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 4

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1841443553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CALLE ESTADO APT A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073533",
            "telephone_number": "305-297-4377",
            "fax_number": "888-350-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CALLE LOIZA",
            "address_2": "STE 205",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009111867",
            "telephone_number": "305-297-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORROCHATEGUI",
        "first_name": "MARTIN",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "17366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.