Active NPI
Elizandro Martinez, LMT
- Massage Therapist
- Santa Fe, NM
National Provider Identifier
1013522861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT9397
- Practice address
- 422 Medico LN
Santa Fe, NM 87505-4786 - Phone
- (505) 986-9109
- NPI assigned
- Sep 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT9397 | NM | Primary |
Addresses
Primary practice location
422 Medico LN
Santa Fe, NM 87505-4786
Mailing address
33 Sunrise Rd
Santa Fe, NM 87507
Phone (505) 670-3012
Other practice location 1
422 Medico Ln Ste A
Santa Fe, NM 87505-4786
Phone (505) 989-9221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT9397 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1013522861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 SUNRISE RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87507",
"telephone_number": "505-670-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 MEDICO LN",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054786",
"telephone_number": "505-986-9109"
}
],
"practiceLocations": [
{
"address_1": "422 Medico Ln Ste A",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875054786",
"country_code": "US",
"telephone_number": "505-989-9221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ELIZANDRO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "MT9397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.