Waldo Miguel Martinez Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G8910 Issued in TX

Practice address

4005 24TH St
Lubbock, TX 79410-1835

Phone

(806) 792-2767

Fax

(806) 791-6709

NPI assigned

Jun 15, 2005

Last updated

Feb 16, 2022By 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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lubbock Diagnostic Radiology, L.L.P.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1215028501
  Medicare reassignment
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975

  NM

  Medicare reassignment
• Radiology Associates of North Texas, PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1861782740
  NPD

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1144225459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101835",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101835",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17980 Dallas Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876817",
            "country_code": "US",
            "telephone_number": "817-321-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Clear Lake Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760868803",
            "country_code": "US",
            "telephone_number": "817-321-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042294",
            "country_code": "US",
            "telephone_number": "817-321-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "WALDO",
        "middle_name": "MIGUEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2022-02-16",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G8910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X8359",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139314209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "818716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "118679100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "87458Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodolfo E. Martinez, M.D.
• Sheree A Martinez, FNP-C
• Sophia Maria Martinez, MS, RDN, LD
• Veronica E Martinez, LPC-A
• Victoria Frances Martinez
• Susan Marie Martz, FNP-C
• Masha Perlman PLLC
• Paul Joseph Maslanka Jr., M.D.
• Carter Mason
• Jadah Mason

• Diagnostic Radiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.