Jose Alejandro Martinez, LVN
Individual provider Active NPI Licensed Vocational Nurse · Cameron, TX
NPI 1417560665 · NPPES record last updated Aug 27, 2020
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Mar 19, 2026.
Key facts
- NPI
- 1417560665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 350461 (TX)
- Practice address
- 104 N Nolan Ave
Cameron, TX 76520-3255 - Phone
- (254) 421-3979
- NPI assigned
- Aug 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350461 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 350461 | TX | Yes |
Addresses
Primary practice location
104 N Nolan Ave
Cameron, TX 76520-3255
Mailing address
104 N Nolan Ave
Cameron, TX 76520-3255
Phone (254) 421-3979
Other providers in Cameron, TX
- Mike L Locklear
- Kasey Lea Love
- Dan Luong
- Tariq Mahmood
- John Michael Marek
- MD Health RX Solutions, LLC
- Medicore360, LLC
- Brandon Wade Messamore
- Milam Co Health Dept
- Milam County
All providers in Cameron, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.