Individual provider Active NPI

Antonio Martinez, PA-C

  • Internal Medicine Physician
  • Hartford, CT
National Provider Identifier
1346159811
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CT7777 Issued in CT
Practice address
21 Woodland St
Hartford, CT 06105-4318
Phone
(860) 228-9300
Fax
(860) 228-4703
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CT7777 CT Primary

Addresses

Primary practice location

21 Woodland St
Hartford, CT 06105-4318

Mailing address

63 Whitmore St Apt 1W
Hartford, CT 06114-1388
Phone (860) 228-9300

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1346159811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WHITMORE ST APT 1W",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141388",
            "telephone_number": "860-228-9300",
            "fax_number": "860-228-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-228-9300",
            "fax_number": "860-228-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTONIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "CT7777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.