NPIMap

Individual provider Active NPI

Jorge L Martinez Trabal, MD

  • Vascular Surgery Physician
  • Ponce, PR
National Provider Identifier
1972717239
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
14241 Issued in PR
Practice address
909 Ave Tito Castro
Torre Medica San Lucas Ste 602
Ponce, PR 00716-4728
Phone
(787) 651-1429
Fax
(787) 651-1430
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 14241 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro
Torre Medica San Lucas Ste 602
Ponce, PR 00716-4728

Mailing address

604 Calle Felipe
Mansion Real
Coto Laurel, PR 00780-2640
Phone (787) 651-1429

Other identifiers 1

IdentifierTypeStateIssuer
0028195MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000416 PR Practitioner - Vascular SurgeryPractitioner - Peripheral Vascular Disease 8820169014 Reassigns benefits to 2 organizations
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Peripheral Vascular Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribbean Vascular Services PCGroup PAC ID 1052538949, 2 clinicians

Practice addresses (Care Compare)

909 Ave Tito Castro
Ponce, PR 00716-4728
Phone (787) 651-1429

Hospital & facility affiliations

  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Home health agency, Aguadilla, PR, CCN 407320
  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Home health agency, Ponce, PR, CCN 407002
  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)53
Removal of tissue54
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Assertive Surgical Network, LLC CurrentSince Aug 1, 2025 Accepting new patients
Caribbean Vascular Services PC Vascular Surgery CurrentSince Jul 1, 2014 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

2500 Calle Obispado
Ponce, PR 00716
Phone (787) 371-1915

909 Ave Tito Castro
Ste 602
Ponce, PR 00716
Phone (787) 651-1429

Organizations & group practices 3

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 5

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1972717239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CALLE FELIPE",
            "address_2": "MANSION REAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802640",
            "telephone_number": "787-651-1429",
            "fax_number": "787-651-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS STE 602",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-651-1429",
            "fax_number": "787-651-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ TRABAL",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "14241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028195",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.