DR. CARLOS M MARTINEZ RIVERA MD
NPI 1356330310
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mayaguez, PR

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
27 CALLE NELSON PEREA, STE 204, DOCTOR'S CENTER, MAYAGUEZ, PR 00680(787) 805-0595(787) 805-0620 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2023, Feb 4, 2020 (2 updates tracked since 2020).

About Dr. Carlos M Martinez Rivera Md NPPES

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

DR. CARLOS M MARTINEZ RIVERA MD (NPI 1356330310) is an individual endocrinology, diabetes & metabolism provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (12424) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1991).

NPPES Registry Identity

NPI1356330310
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. CARLOS M MARTINEZ RIVERACredential: MD
Location Address27 CALLE NELSON PEREA, STE 204, DOCTOR'S CENTERMayaguez, PR 00680-4949
Mailing Address27 Calle Nelson Perea, Ste 204, Doctor's CenterMayaguez, PR 00680-4949 · (787) 805-0595 · Fax (787) 805-0620
Fax(787) 805-0620
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1991
Enumeration DateOctober 20, 2005
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
NPI 1356330310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PR · 12424
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos M Martinez Rivera Md 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 ID1254348063
PECOS Enrollment IDI20060320000024
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
186 services91 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00680 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
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
1 supplier17 claims34 services$0.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers69 claims237 services$6.59 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier43 claims43 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
1 supplier12 claims12 services$1.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers61 claims108 services$1.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers28 claims28 services$188.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
27 CALLE NELSON PEREA, EDIFICIO DOCTORS CENTER, SUITE 103
MAYAGUEZ, PR 00680
Psychologist
27 CALLE NELSON PEREA, EDIF. DR. CENTER SUITE #103
MAYAGUEZ, PR 00680
Internal Medicine
27 CALLE NELSON PEREA, DOCTOR'S CENTER SUITE 101
MAYAGUEZ, PR 00680
Psychologist (Clinical)
27 CALLE NELSON PEREA, SUITE 103
MAYAGUEZ, PR 00680
Pediatrics (Neonatal-Perinatal Medicine)
27 CALLE NELSON PEREA, DOCTOR CENTER SUITE 208
MAYAGUEZ, PR 00680
Dermatology
27 CALLE NELSON PEREA, SUITE 105
MAYAGUEZ, PR 00680
Internal Medicine
27 CALLE NELSON PEREA, 104 DOCTOR CENTER
MAYAGUEZ, PR 00680
Clinic/Center
27 CALLE NELSON PEREA, EDF DOCTORS CENTER SUITE 105
MAYAGUEZ, PR 00680

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 Carlos Martinez Rivera's NPI number?

The NPI number for Carlos Martinez Rivera is 1356330310. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Carlos Martinez Rivera located?

Carlos Martinez Rivera practices at 27 Calle Nelson Perea Ste 204, Doctor's Center, Mayaguez, PR 00680. The listed phone number is (787) 805-0595.

What is Carlos Martinez Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Carlos Martinez Rivera enrolled in Medicare?

Yes. Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Martinez Rivera was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.