Edson Martinez-Ruiz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20475 Issued in TX

Practice address

1121 Avenue E
Del Rio, TX 78840-3915

Phone

(830) 775-2443

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edson Martinez-Ruiz, DDS, PA

  • General Practice Dentistry
  • Del Rio, TX
  • NPI 1164803417
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053463323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LARKWOOD LN",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 AVENUE E",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403915",
            "telephone_number": "830-775-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-RUIZ",
        "first_name": "EDSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maltor Healthcare LLC Dba Vida Real Home Care (Vida Real Home Care)
• Palani Sudra Mani, MD
• Mark G Manning, MD
• Ashley Dawn Marosko, PA-C
• Luis Carlos Marquez, OD
• Angel Martinez, M.D.
• Christian Alejandro Martinez
• Edith Martinez
• Mary Parrish
• Maternity Care Center

• General Practice Dentistry in Del Rio, TX
• Providers in Del Rio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.