Jorge A Martinez-toro, CP 796 - Medicare Counselor in Ponce, PR

Jorge A Martinez-toro, CP 796 is a medicare enrolled "Psychologist - Clinical" provider in Ponce, Puerto Rico. His current practice location is 2162 Blvd Luis A Ferre Urb Villa Grillasca, Ponce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 840-1110.

Jorge A Martinez-toro is licensed to practice in Puerto Rico (license number 6235) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457729790.

Contact Information

Jorge A Martinez-toro, CP 796
2162 Blvd Luis A Ferre Urb Villa Grillasca,
Ponce, PR 00717-0722
(787) 840-1110
(787) 840-0003

Map and Direction


Healthcare Provider's Profile

Full NameJorge A Martinez-toro
GenderMale
SpecialityPsychologist - Clinical
Location2162 Blvd Luis A Ferre Urb Villa Grillasca, Ponce, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457729790
  • Provider Enumeration Date: 09/03/2015
  • Last Update Date: 02/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022342799
  • Enrollment ID: I20190628002754

Medical Identifiers

Medical identifiers for Jorge A Martinez-toro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457729790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 796 (Puerto Rico)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) 6235 (Puerto Rico)Secondary
103TC0700XPsychologist - Clinical 6235 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jorge A Martinez-toro allows following entities to bill medicare on his behalf.
Entity NameA&r Behavioral Associates Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235287590
PECOS PAC ID: 9032215983
Enrollment ID: O20070509000512
Entity NameInspira Behavioral Care Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063928596
PECOS PAC ID: 5294863262
Enrollment ID: O20141003000758

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jorge A Martinez-toro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jorge A Martinez-toro, CP 796
110 Calle 5, Jardines Del Caribe,
Ponce, PR 00728-4466

Ph: (787) 326-0676
Jorge A Martinez-toro, CP 796
2162 Blvd Luis A Ferre Urb Villa Grillasca,
Ponce, PR 00717-0722

Ph: (787) 840-1110

Reviews and Comments


Psychologist in Ponce, PR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.