Mildred Maury Martinez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14833 Issued in PR

Practice address

Complejo Correccional de Mayaquez, Area Medica
Carretera 105, Barrio Limon
Mayaquez, PR 00680

Phone

(787) 834-9043

NPI assigned

May 16, 2007

Last updated

Jan 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286
  Medicare reassignment NPD
• Migrant Health Center Western Region, Inc.

  • Clinic Pharmacy
  • Yauco, PR
  • NPI 1093262297
  NPD
• Morris Hospital

  dba Morris Hospital & Healthcare Centers

  • Health Service Clinic/Center
  • Morris, IL
  • NPI 1376658658
  NPD (past)
• Morris Hospital

  • General Practice Physician
  • Morris, IL
  • NPI 1558466268
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1982810685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3423",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006673423",
            "telephone_number": "787-239-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPLEJO CORRECCIONAL DE MAYAQUEZ, AREA MEDICA",
            "address_2": "CARRETERA 105, BARRIO LIMON",
            "city": "MAYAQUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURY MARTINEZ",
        "first_name": "MILDRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14833",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-096378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Espanola Inc (La Espanola Home Health Agency)
• Janice Ferrer, RPH
• Juan Carlos Garcia, DMD
• Gracias Ambulance Service
• Lymaris Mercado, RPH
• Gloria I Ponce, MD
• Iveliza Rivera Rivera, MD
• Maria Roman, RPH

• Family Medicine Physician in Mayaquez, PR
• Providers in Mayaquez, 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 Jan 11, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.