Individual provider Active NPI

Gloria Ibania Martinez, SA-C

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1215531439
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone
(281) 919-9949
NPI assigned
Nov 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

710 Cypress Creek Pkwy
Houston, TX 77090-3402

Mailing address

8231 Sardina Shore Dr
Cypress, TX 77433-2889
Phone (281) 919-9949

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cypress Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1215531439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 SARDINA SHORE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332889",
            "telephone_number": "281-919-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CYPRESS CREEK PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903402",
            "telephone_number": "281-919-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GLORIA",
        "middle_name": "IBANIA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cypress",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cypress",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Houston",
            "address_1": "710 Cypress Creek Pkwy",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.