Reynaldo R. Martinez MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002-0070 Issued in NM

Legal business name

REYNALDO R. MARTINEZ MD LLC

Practice address

313 W Country Club Rd
Roswell, NM 88201

Phone

(575) 622-2882

Fax

(575) 622-2883

NPI assigned

Aug 21, 2006

Last updated

Oct 30, 2007By 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

Lori Martinez

Title

Office Manager

Phone

(575) 622-2882

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Reynaldo Roman Martinez, M.D.

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1245224914
  Medicare reassignment NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1225144439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88202",
            "telephone_number": "575-622-2882",
            "fax_number": "575-622-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-622-2882",
            "fax_number": "575-622-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO R. MARTINEZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-622-2882"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2002-0070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04655362",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renew Health LLC
• Renew Physical Therapy PC
• Saige Renteria
• Araceli Reyes
• Neira Stephanie Reyes
• Valerie Rhinehart
• Joseph Isaac Rhodes, DDS
• Andrea Rice
• Lisa Sue Richards,, BS
• Mario Rico

• Family Medicine Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.