Active NPI
Telesfor Martinez, PSR
- Specialist
- Raton, NM
National Provider Identifier
1285869180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 220 4TH Ave
Raton, NM 87740-2643 - Phone
- (575) 445-2754
- Fax
- (575) 445-2225
- NPI assigned
- May 20, 2009
- Last updated
- May 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
220 4TH Ave
Raton, NM 87740-2643
Mailing address
600 E Rio Grande Ave
Raton, NM 87740-2969
Phone (575) 445-3575
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noesis Integrative Health Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raton, NM
- NPI 1780162206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1285869180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E RIO GRANDE AVE",
"city": "RATON",
"state": "NM",
"postal_code": "877402969",
"telephone_number": "575-445-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 4TH AVE",
"city": "RATON",
"state": "NM",
"postal_code": "877402643",
"telephone_number": "575-445-2754",
"fax_number": "575-445-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TELESFOR",
"name_prefix": "Mr.",
"credential": "PSR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.