Donaldo Martinez Vicente

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2 Saint Joseph Dr
Laurel, MS 39443-6003

Phone

(601) 498-6155

NPI assigned

Jul 1, 2024

Sex

Male

Sole proprietor

Yes

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 MS

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 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1194560029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT JOSEPH DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394436003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT JOSEPH DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394436003",
            "telephone_number": "601-498-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ VICENTE",
        "first_name": "DONALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Z. Manning, SLP
• Constance Hope Marshall, MOTR/L
• Matthew Martin
• Sammie Martin, M.S.
• William Scott Martin, D.M.D.
• James H Masters, CIDDT
• Laura Amanda Mathews, ED.S., CCC-SLP
• Christopher L Mauldin, MD
• Jeremy Mauldin, CRNA
• Kyle Aaron Mauldin

• Student in an Organized Health Care Education/Training Program in Laurel, MS
• Providers in Laurel, MS by specialty
• Student in an Organized Health Care Education/Training Program in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.