Active NPI
Robert Martinez Jr., FNP
- Family Nurse Practitioner
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 607676 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Bosque Clinic LLC | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Francisco J Guerra M D P a | Past | Accepting new patients | |
| Topcare Medical PA | Past | 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.
-
- Primary Care Nurse Practitioner
- Rio Rancho, NM
- NPI 1033977780
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- Family Medicine Physician
- El Paso, TX
- NPI 1447234471
-
- Specialist
- Irving, TX
- NPI 1043231400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.