Myriam Lizeth Martinez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1177076 Issued in TX

Practice address

11620 Pellicano Dr
El Paso, TX 79936-6278

Phone

(915) 996-9363

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEFCDA/Endpoint/CEFCDA

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1356169734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CARBINE DR",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287160",
            "telephone_number": "915-279-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366278",
            "telephone_number": "915-996-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MYRIAM",
        "middle_name": "LIZETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Susanne Martinez, LVN
• Miguel Martinez, DMD
• Miguel A Martinez
• Miguel Adrian Martinez
• Monica Maria Martinez, LCSW
• Olga L Martinez, A-SLP
• Omar Martinez
• Oscar Alberto Martinez, PT, DPT
• Oscar Bentio Martinez, M.A., SLP-INTERN
• Pablo Fernando Martinez, M.D.

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.