Active NPI
Rodolfo Gabriel Martinez, LMSW
- Social Worker
- Las Cruces, NM
National Provider Identifier
1245758465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-08285
- Practice address
- 125 W Mountain Ave
Las Cruces, NM 88005-1826 - Phone
- (575) 449-4731
- Fax
- (575) 288-1356
- NPI assigned
- Sep 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-08285 | NM | Primary |
Addresses
Primary practice location
125 W Mountain Ave
Las Cruces, NM 88005-1826
Mailing address
1529 Desierto Rico Ave
El Paso, TX 79912-8437
Phone (575) 621-5960
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08285 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504828800000",
"number": "1245758465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 DESIERTO RICO AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799128437",
"telephone_number": "575-621-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W MOUNTAIN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880051826",
"telephone_number": "575-449-4731",
"fax_number": "575-288-1356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "RODOLFO",
"middle_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-08",
"last_updated": "2017-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-08285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.