Individual provider Active NPI

Maritza Martinez Vargas

  • Internal Medicine Physician
National Provider Identifier
1972597557
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7568 Issued in PR
Practice address
Avenida Universidad Interamericana
Calle 143
San German, PUERTO RICO 00683
UM
Phone
(787) 892-6060
Fax
(787) 892-6060
NPI assigned
Sep 9, 2005
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7568 PR Primary

Addresses

Primary practice location

Avenida Universidad Interamericana
Calle 143
San German, PUERTO RICO 00683
UM

Mailing address

PO Box 326
San German, PUERTO RICO 00683
UM
Phone (787) 892-6060

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
I20031205000544 PR Practitioner - Internal Medicine 3173428760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 Ave Univ Interamericana
San German, PR 00683-4320
Phone (787) 892-6060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MMV Internal Medicine P.S.C. CurrentSince Oct 31, 2013 Accepting new patients

Locations

143 Ave Univ Interamericana
San German, PR 00683
Phone (787) 892-6060

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1972597557",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 326",
            "city": "SAN GERMAN",
            "state": "PUERTO RICO",
            "postal_code": "00683",
            "telephone_number": "787-892-6060",
            "fax_number": "787-892-6060"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "AVENIDA UNIVERSIDAD INTERAMERICANA",
            "address_2": "CALLE 143",
            "city": "SAN GERMAN",
            "state": "PUERTO RICO",
            "postal_code": "00683",
            "telephone_number": "787-892-6060",
            "fax_number": "787-892-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ VARGAS",
        "first_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.