Active NPI
Jaime Martinez
- Social Worker
- Espanola, NM
National Provider Identifier
1053684233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-07758
- Practice address
- 1302 Calle de la Merced
Espanola, NM 87532-2624 - Phone
- (505) 747-0081
- NPI assigned
- Feb 17, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M-07758 | NM | Primary |
Addresses
Primary practice location
1302 Calle de la Merced
Espanola, NM 87532-2624
Mailing address
PO Box 28220
Santa Fe, NM 87592-8220
Phone (505) 471-5006
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 |
|---|---|---|---|
| M-07758 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1053684233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28220",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875928220",
"telephone_number": "505-471-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 CALLE DE LA MERCED",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322624",
"telephone_number": "505-747-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JAIME",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-17",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-07758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.