Individual provider Active NPI

Raul A. Martinez, M.D.

  • Cardiovascular Disease Physician
  • Edinburg, TX
National Provider Identifier
1285641704
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E2281 Issued in TX
Practice address
1120 S Closner Blvd
Edinburg, TX 78539-5662
Phone
(956) 383-1721
Fax
(956) 383-2205
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E2281 TX Primary
Cardiovascular Disease Physician 207RC0000X 35789 MA

Addresses

Primary practice location

1120 S Closner Blvd
Edinburg, TX 78539-5662

Mailing address

1120 S Closner Blvd
Edinburg, TX 78539-5662
Phone (956) 383-1721

Other identifiers 1

IdentifierTypeStateIssuer
1331795-08MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100510000061 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7416085667 Practice locations: Edinburg, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 S Closner Blvd
Edinburg, TX 78539-5662
Phone (956) 383-1721

Hospital & facility affiliations

  • Con Encanto Healthcare LLC Home health agency, Pharr, TX, CCN 747802
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35789MAMDCardiovascular Disease Physician
E2281TXMDCardiovascular Disease Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1285641704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395662",
            "telephone_number": "956-383-1721",
            "fax_number": "956-383-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395662",
            "telephone_number": "956-383-1721",
            "fax_number": "956-383-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E2281",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "35789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1331795-08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.