Individual provider Active NPI

Hector Javier Martinez Gonzalez, M.D

  • Interventional Cardiology Physician
  • Mayaguez, PR
National Provider Identifier
1902008352
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
16823 Issued in PR
Practice address
Mayaguez Medical Center
Suite 114N
Mayaguez, PR 00680
Phone
(787) 652-1629
Fax
(787) 652-9238
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16823 PR
Cardiovascular Disease Physician 207RC0000X 16823 PR
Interventional Cardiology Physician 207RI0011X 16823 PR Primary

Addresses

Primary practice location

Mayaguez Medical Center
Suite 114N
Mayaguez, PR 00680

Mailing address

PO Box 3161
Mayaguez, PR 00681-3161
Phone (787) 652-1629

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
I20130903000540 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1850534371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayaguez Medical Center Dr Ramon Emeterio Betances IncGroup PAC ID 8527107341, 8 clinicians

Practice addresses (Care Compare)

P O Box
Suite 600
Mayaguez, PR 00681-1838

PO Box
Suite 600
Mayaguez, PR 00681-1838

Res Mayaguez GDNS
Suite 114N
Mayaguez, PR 00680-1884
Phone (787) 652-1629

Hospital & facility affiliations

  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103
  • Hospital San Carlos Borromeo Hospital, Moca, PR, CCN 400111
  • Hospital Comunitario Buen Samaritano Inc Hospital, Aguadilla, PR, CCN 400079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16823PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Elite, P.C. Interventional Cardiology CurrentSince Aug 15, 2013 Accepting new patients

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 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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1902008352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3161",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813161",
            "telephone_number": "787-652-1629",
            "fax_number": "787-652-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYAGUEZ MEDICAL CENTER",
            "address_2": "SUITE 114N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-1629",
            "fax_number": "787-652-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GONZALEZ",
        "first_name": "HECTOR",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16823",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "16823",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "16823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.