Juan R Martino, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12748 Issued in PR

Practice address

G5 Calle Marginal
Urb Vista Azul
Arecibo, PR 00612-2546

Phone

(787) 817-0573

Fax

(787) 816-0219

NPI assigned

Aug 1, 2006

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Family Practice

Education

Ponce School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
• Hospicio Luz de Esperanza Inc Hospice, Manati, PR, CCN 401574
• Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527
• Hospital Pavia Arecibo Hospital, Arecibo, PR, CCN 400087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Medical Family Practice Ctr CSP

  • Family Medicine Physician
  • Arecibo, PR
  • NPI 1700891439
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Corporacion Las Vegas, LLC

  • Home Health Agency
  • Manati, PR
  • NPI 1659364248
  Care Compare affiliation
• Dr Susoni Health Community Services Corp

  dba Hospital Pavia Arecibo

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1972531218
  Care Compare affiliation
• Hospicio la Paz Inc

  • Community Based Hospice Care Agency
  • Arecibo, PR
  • NPI 1609868645
  Care Compare affiliation
• Hospicio Luz de Esperanza Inc.

  • Community Based Hospice Care Agency
  • Manati, PR
  • NPI 1013459379
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1912914391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142529",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142529",
            "telephone_number": "787-817-0573",
            "fax_number": "787-816-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G5 CALLE MARGINAL",
            "address_2": "URB VISTA AZUL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122546",
            "telephone_number": "787-817-0573",
            "fax_number": "787-816-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "JUAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6120152",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "89544",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN LIFE",
            "identifier": "PE3625",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH PLAN",
            "identifier": "11603",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "1912914391",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "1912914391",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMUNITY SERVICE",
            "identifier": "1912914391",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Martinez, M.S.
• Sheni Martinez, MSW
• Wilneris Martinez
• Yesica Martinez
• Zuleika Nicole Martinez Sr.
• Marv Inc (Farmacia Central)
• Masa Servicios Medicos CSP
• Mastica LLC
• Manuel Arnaldo Matos, MD
• Milton Emilio Matos, PT

• Family Medicine Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.

Verify at the official NPI Registry.