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DR. MICHAEL WALLACE MARTINEZ RODRIGUEZ
NPI 1649770553
General Practice in Juana Diaz, PR

Active since February 16, 2018PECOS Enrolled
COLINAS DEL PRADO, 57 CALLE REY CARLOS, JUANA DIAZ, PR 00795(939) 325-7523 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Wallace Martinez Rodriguez NPPES

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

DR. MICHAEL WALLACE MARTINEZ RODRIGUEZ (NPI 1649770553) is an individual general practice provider in Juana Diaz, Puerto Rico, licensed in Puerto Rico (19848) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649770553
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MICHAEL WALLACE MARTINEZ RODRIGUEZ
Location AddressCOLINAS DEL PRADO, 57 CALLE REY CARLOSJuana Diaz, PR 00795
Mailing AddressHc 3 Box 11885Juana Diaz, PR 00795-9579 · (939) 325-7523
Phone(939) 325-7523
Sole ProprietorYes
Enumeration DateFebruary 16, 2018
✔ NPI 1649770553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 19848
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Wallace Martinez Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Michael Martinez Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mennonite General Hospital Inc
Specialist
CALLE JOSE C VAZQUEZ, BO CAONILLAS
Aibonito, PR 00705
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 205 clinicians in this Medicare group
NPI 1043347768 (787) 535-1001

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

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 Michael Martinez Rodriguez's NPI number?

The NPI number for Michael Martinez Rodriguez is 1649770553. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Where is Michael Martinez Rodriguez located?

Michael Martinez Rodriguez practices at Colinas Del Prado 57 Calle Rey Carlos, Juana Diaz, PR 00795. The listed phone number is (939) 325-7523.

What is Michael Martinez Rodriguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Martinez Rodriguez enrolled in Medicare?

Yes. Michael Martinez Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Martinez Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Martinez Rodriguez reassigns Medicare benefits to Mennonite General Hospital Inc (Aibonito, PR). The 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 Michael Martinez Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Martinez Rodriguez was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.