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MRS. MARIA TERESA VEGA-MARTINEZ M.D.
NPI 1497956890
Internal Medicine - Pulmonary Disease in Carolina, PR

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
CARR 3 KM 8.3 AVE 65TH INFANTERIA, HOSPITAL UPR, DR. FEDERICO TRILLA, CAROLINA, PR 00984(787) 562-0309 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Maria Teresa Vega-martinez M.d. NPPES

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

MRS. MARIA TERESA VEGA-MARTINEZ M.D. (NPI 1497956890) is an individual pulmonary disease provider in Carolina, Puerto Rico, licensed in Puerto Rico (16440) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Professional Hospital Guaynabo Inc, and is a graduate of University Of Puerto Rico School Of Medicine (2004).

NPPES Registry Identity

NPI1497956890
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMRS. MARIA TERESA VEGA-MARTINEZCredential: M.D.
Location AddressCARR 3 KM 8.3 AVE 65TH INFANTERIA, HOSPITAL UPR, DR. FEDERICO TRILLACarolina, PR 00984
Mailing AddressUrb Terrazas Parque Escorial, 605 Blvd Media Luna Apt 6102Carolina, PR 00987 · (787) 562-0309
Phone(787) 562-0309
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2004
Enumeration DateMay 31, 2007
Last NPPES UpdateOctober 26, 2010
✔ NPI 1497956890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PR · 16440
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 16440 (PR)
CARR 3 KM 8.3 AVE 65TH INFANTERIA, Carolina, PR 00984
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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

Mrs. Maria Teresa Vega-martinez M.d. 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 ID2668668484
PECOS Enrollment IDI20101118001288
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 Maria Vega-martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Recinto De Ciencias Medicas
4.8 mi
Pulmonary Disease
AVE. AMERICO MIRANDA CENTRO MEDICO DE PR EDIF PRINCIPAL, ESCUELA DE MEDICINA APTDO 29134
San Juan, PR 00929
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1881779874 (787) 758-2525
Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.
Specialist
735 AVE PONCE DE LEON STE 375
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 44 clinicians in this Medicare group
NPI 1487947214 (787) 771-7934

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Professional Hospital Guaynabo Inc

Acute Care Hospitals · Guaynabo, PR
OwnershipProprietary
CMS Certification Number400122
Location8 Ave Las CumbresGuaynabo, PR 00969 · Guaynabo County
Emergency services

Hospital Del Centro Comprensivo De Cancer

Acute Care Hospitals · San Juan, PR
OwnershipGovernment - State
CMS Certification Number400135
LocationPr 21 Int Pr 18 Bo Monacillos UrbanoSan Juan, PR 00927 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00984 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.73
Promoting Interoperability0
Improvement Activities40
Cost68.24

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 Maria Vega-martinez's NPI number?

The NPI number for Maria Vega-martinez is 1497956890. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Maria Vega-martinez located?

Maria Vega-martinez practices at Carr 3 Km 8.3 Ave 65th Infanteria Hospital Upr, Dr. Federico Trilla, Carolina, PR 00984. The listed phone number is (787) 562-0309.

What is Maria Vega-martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Maria Vega-martinez enrolled in Medicare?

Yes. Maria Vega-martinez 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 Maria Vega-martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Vega-martinez reassigns Medicare benefits to 2 organizations: Recinto De Ciencias Medicas (San Juan, PR) and Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc. (San Juan, 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 Maria Vega-martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maria Vega-martinez affiliated with any hospitals?

According to CMS data, Maria Vega-martinez is affiliated with Professional Hospital Guaynabo Inc and Hospital Del Centro Comprensivo De Cancer.

When was this NPI record last updated?

The NPPES record for Maria Vega-martinez was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.