Individual provider Active NPI

Atenas Alejandra Martinez Bernal, MD

  • General Practice Physician
  • Inverness, FL
National Provider Identifier
1912401266
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1594 Issued in FL
Practice address
3580 E Gulf to Lake Hwy
Inverness, FL 34453-3207
Phone
(352) 527-6888
Fax
(352) 527-8818
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1594 FL Primary
General Practice Physician 208D00000X 22824 PR

Addresses

Primary practice location

3580 E Gulf to Lake Hwy
Inverness, FL 34453-3207

Mailing address

Bayamon Medical Plaza 1845
Carr. #2 Suite 209
Bayamon, PR 00959
Phone (787) 620-2098

Other practice location 1

2385 N Lecanto Hwy
Lecanto, FL 34461-9677
Phone (352) 527-6888

Other practice location 2

Bayamon medical Plaza Suite 209
Bayamon, PR 00959-7200
Phone (787) 620-2098

Other practice location 3

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230315001652 PR Practitioner - General Practice 3173997145 Practice locations: Trujillo Alto, PR
I20240809003711 FL Practitioner - Internal Medicine 3173997145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric and Internal Medicine Specialists IncGroup PAC ID 4486672391, 15 clinicians

Practice addresses (Care Compare)

1980 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

3580 E Gulf to Lake Hwy
Inverness, FL 34453-3207
Phone (352) 527-6888

Hospital & facility affiliations

  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22824PRMDGeneral Practice Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Pediatric and Internal Medicine Specialists Inc CurrentSince May 11, 2024 Accepting new patients
Metropolitan Surgery Center PSC CurrentSince Jan 1, 2024 Accepting new patients
Pediatric and Internal Medicine Specialists Inc CurrentSince May 11, 2024 Accepting new patients
Pedim Outreach and Specialty Clinic LLC CurrentSince Jan 19, 2026 Accepting new patients
Instituto de Cuidado del Seno PastSince Jan 1, 2024 Accepting new patients

Locations

3580 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 527-6888

1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858

2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888

1845 Carr 2
Ste 209
Bayamon, PR 00959
Phone (787) 620-2098

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1912401266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA 1845",
            "address_2": "CARR. #2 SUITE 209",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-620-2098",
            "fax_number": "787-779-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 E GULF TO LAKE HWY",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533207",
            "telephone_number": "352-527-6888",
            "fax_number": "352-527-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2385 N Lecanto Hwy",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619677",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "fax_number": "352-527-8818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Bayamon medical Plaza Suite 209",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009597200",
            "country_code": "US",
            "telephone_number": "787-620-2098",
            "fax_number": "787-269-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619792",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "fax_number": "352-527-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ BERNAL",
        "first_name": "ATENAS",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1594",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.