Edson Martinez-Ruiz, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20475 Issued in TX

Legal business name

EDSON MARTINEZ-RUIZ, DDS, PA

Practice address

1121 Avenue E
Del Rio, TX 78840-3915

Phone

(830) 775-2443

Fax

(830) 775-2214

NPI assigned

Jun 12, 2015

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vania Martinez

Title

Business Administrator

Phone

(830) 775-2443

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edson Martinez-Ruiz, D.D.S.

  • General Practice Dentistry
  • Del Rio, TX
  • NPI 1053463323
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1164803417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 AVENUE E",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403915",
            "telephone_number": "830-775-2443",
            "fax_number": "830-775-2214"
        },
        {
            "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",
            "fax_number": "830-775-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDSON MARTINEZ-RUIZ, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VANIA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "830-775-2443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.