David Malaquias Martinez, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1054872 Issued in TX

Practice address

2800 W Trenton Rd
Ste 2868
Edinburg, TX 78539-7853

Phone

(281) 888-8999

Fax

(281) 305-4054

NPI assigned

Oct 22, 2021

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Revitaderm PLLC

  • Registered Nurse
  • Newark, TX
  • NPI 1518770494
  Medicare reassignment NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Vascular Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1346706173
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1063176303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E CAMELIA AVE",
            "city": "HIDALGO",
            "state": "TX",
            "postal_code": "785572658",
            "telephone_number": "956-778-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W TRENTON RD",
            "address_2": "STE 2868",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397853",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Paredes Line Road",
            "address_2": "B-7",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785261194",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6419 Polaris Drive",
            "address_2": "B2",
            "address_purpose": "LOCATION",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417804",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DAVID",
        "middle_name": "MALAQUIAS",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Martinez, LVN
• Daniel Ernesto Martinez
• Danys Martinez, LVN
• Dario Martinez, PTA
• Darlene Bradford Martinez, RN, MSN, ACNS-BC
• Dora A Martinez, RN
• Eberardo Martinez, CSFA
• Eleneth Martinez
• Grace Isabel Martinez, OTR
• Israel Martinez

• Family Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.