Active NPI
Jan Paul Rosaly Martinez, MD
- Nephrology Physician
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 23698
- Practice address
- 1050 Ave Los Corazones Ste 102
Mayaguez, PR 00680-7058 - Phone
- (787) 834-5334
- NPI assigned
- Jun 18, 2018
- Last updated
- Apr 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 34392 | FL | |
| Nephrology Physician | 207RN0300X | 23698 | PR | Primary |
Addresses
Primary practice location
1050 Ave Los Corazones Ste 102
Mayaguez, PR 00680-7058
Mailing address
1050 Ave Los Corazones Ste 102
Mayaguez, PR 00680-7058
Phone (787) 834-5334
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Ave Los Corazones
Mayaguez, PR 00680-7042
Phone (787) 834-5334
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23698 | PR | MD | Pharmacy Technician |
| 34392 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nefrologos Asociados del Oeste | Single Specialty | Current | Accepting new patients |
Locations
1050 Ave Los Corazones
Ste 102
Mayaguez, PR 00680
Phone (787) 834-2185
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San German, PR
- NPI 1366484594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1942794573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 AVE LOS CORAZONES STE 102",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006807058",
"telephone_number": "787-834-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 AVE LOS CORAZONES STE 102",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006807058",
"telephone_number": "787-834-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALY MARTINEZ",
"first_name": "JAN",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "34392",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "23698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.