Organization Active NPI

Rosa Elia Martinez

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1194118281
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
016871 Issued in TX
Legal business name
ROSA ELIA MARTINEZ
Practice address
4035 Boca Chica Blvd Ste 3
Brownsville, TX 78521
Phone
(956) 546-1115
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Rosa Elia Martinez
Title
Alt. Administrator/Owner
Phone
(956) 546-1115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X 016871 TX Primary

Addresses

Primary practice location

4035 Boca Chica Blvd Ste 3
Brownsville, TX 78521

Mailing address

4035 Boca Chica Blvd Ste 3
Brownsville, TX 78521-6160
Phone (956) 546-1115

Other practice location 1

3116 E 14th St
Brownsville, TX 78521-3316
Phone (956) 546-1115

Other names 1

  • Buena Vida Primary Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

4035 Boca Chica Blvd
Ste 3
Brownsville, TX 78521
Phone (956) 546-1115

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1194118281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 BOCA CHICA BLVD STE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785216160",
            "telephone_number": "956-546-1115",
            "fax_number": "956-546-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 BOCA CHICA BLVD STE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-546-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3116 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785213316",
            "country_code": "US",
            "telephone_number": "956-546-1115",
            "fax_number": "956-546-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSA ELIA MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "ELIA",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "956-546-1115"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "016871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vida Primary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.