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MARIELA RAQUEL MARTINEZ-RIVERA MD, MS
NPI 1275080806
Urology in Ponce, PR

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
909 AVE TITO CASTRO STE 710-711, PONCE, PR 00716(917) 794-5710 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, Jun 3, 2025, Jun 21, 2024 and 1 more (4 updates tracked since 2016).

About Mariela Raquel Martinez-rivera Md, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIELA RAQUEL MARTINEZ-RIVERA MD, MS (NPI 1275080806) is an individual urology provider in Ponce, Puerto Rico, licensed in Puerto Rico (024302) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Hospital Episcopal San Lucas Ii, and is a graduate of Ponce School Of Medicine (2018).

NPPES Registry Identity

NPI1275080806
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameMARIELA RAQUEL MARTINEZ-RIVERACredential: MD, MS
Location Address909 AVE TITO CASTRO STE 710-711Ponce, PR 00716-4728
Mailing Address909 Ave Tito Castro Ste 710-711Ponce, PR 00716-4728 · (917) 794-5710
Phone(917) 794-5710
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2018
Enumeration DateSeptember 1, 2016
Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1275080806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PR · 024302
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Other Identifiers 1

Other024302PR · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariela Raquel Martinez-rivera Md, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981949914
PECOS Enrollment IDI20250815004585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mariela Martinez-rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advance Urology & Laparoscopic Ctr Psc
Urology
909 AVE TITO CASTRO STE 710, TORRE MEDICA SAN LUCAS
Ponce, PR 00716
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1902212905 (787) 284-3333
Uronova
Urology
110 CALLE MONTERREY APT 102
Ponce, PR 00716
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1265225981 (917) 794-5710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Episcopal San Lucas II

Acute Care Hospitals · Ponce, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400044
Location917 Ave Tito CastroPonce, PR 00716 · Ponce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariela Martinez-rivera's NPI number?

The NPI number for Mariela Martinez-rivera is 1275080806. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Mariela Martinez-rivera located?

Mariela Martinez-rivera practices at 909 Ave Tito Castro Ste 710-711, Ponce, PR 00716. The listed phone number is (917) 794-5710.

What is Mariela Martinez-rivera's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Mariela Martinez-rivera enrolled in Medicare?

Yes. Mariela Martinez-rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mariela Martinez-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariela Martinez-rivera reassigns Medicare benefits to 2 organizations: Advance Urology & Laparoscopic Ctr Psc (Ponce, PR) and Uronova (Ponce, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariela Martinez-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariela Martinez-rivera accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Mariela Martinez-rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mariela Martinez-rivera affiliated with any hospitals?

According to CMS data, Mariela Martinez-rivera is affiliated with Hospital Episcopal San Lucas II.

When was this NPI record last updated?

The NPPES record for Mariela Martinez-rivera was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.