Individual provider Active NPI

Robert Martinez Jr., FNP

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1386860542
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02939 Issued in NM
Practice address
1400 Jackie Rd SE Ste 106
Rio Rancho, NM 87124-1518
Phone
(505) 934-1071
Fax
(505) 451-0054
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 607676 TX
Family Nurse Practitioner 363LF0000X CNP-02939 NM Primary

Addresses

Primary practice location

1400 Jackie Rd SE Ste 106
Rio Rancho, NM 87124-1518

Mailing address

1400 Jackie Rd SE Ste 106
Rio Rancho, NM 87124-1518
Phone (505) 934-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200930003780 NM Practitioner - Nurse Practitioner 8325077795 Reassigns benefits to 2 organizations
I20221111002314 HI Practitioner - Nurse Practitioner 8325077795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Jackie Rd SE
Suite 106
Rio Rancho, NM 87124-1518
Phone (505) 369-3359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
607676TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Nov 16, 2020 Accepting new patients
Bosque Clinic LLC CurrentSince Jun 8, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 20, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 16, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 20, 2022 Accepting new patients
Francisco J Guerra M D P a Past Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

1400 Jackie Rd SE
Ste 106
Rio Rancho, NM 87124
Phone (505) 369-3359

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1386860542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKIE RD SE STE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241518",
            "telephone_number": "505-934-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKIE RD SE STE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241518",
            "telephone_number": "505-934-1071",
            "fax_number": "505-451-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "607676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.