Individual provider Active NPI

Rutilo Martinez Jr., M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1487613618
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8659 Issued in TX
Practice address
1900 N Main Ave
San Antonio, TX 78212-3942
Phone
(210) 617-4239
Fax
(210) 226-2854
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8659 TX Primary

Addresses

Primary practice location

1900 N Main Ave
San Antonio, TX 78212-3942

Mailing address

1900 N Main Ave
San Antonio, TX 78212-3942
Phone (210) 617-4239

Other practice location 1

19500 Ih 10 W Bldg 1
San Antonio, TX 78257-9509
Phone (726) 567-6300

Other identifiers 3

IdentifierTypeStateIssuer
TXB121256OtherTXWELLMED MEDICARE
144158602MedicaidTX
1441586-03OtherTXWELLMED MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090129000245 TX Practitioner - Family Practice 7214091669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K8659TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Family Medicine CurrentSince Mar 6, 2011 Accepting new patients
Community Medicine Associates Family Medicine CurrentSince Apr 15, 2002 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Mar 6, 2011 Accepting new patients
HMG Medical Group, P.a. Past Accepting new patients
Mediplex Health Clinics PA Family Medicine PastSince Nov 1, 1998 Accepting new patients
Socrates a Garrigos, Mdpa Past Accepting new patients

Locations

7500 Barlite Blvd
Ste 201
San Antonio, TX 78224
Phone (210) 921-3939

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

19500 Ih 10 W
Bldg 1
San Antonio, TX 78257
Phone (726) 567-6300

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

1900 N Main Ave
San Antonio, TX 78212
Phone (210) 226-3204

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

1483 E Court St
Seguin, TX 78155
Phone (830) 560-2813

8101 Roughrider Dr
Windcrest, TX 78239
Phone (210) 653-8085

Interoperability endpoints

  • Direct secure messaging: rutilo.martinez@wellmed.eclinicaldirectplus.com

Organizations & group practices 6

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1487613618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123942",
            "telephone_number": "210-617-4239",
            "fax_number": "210-226-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123942",
            "telephone_number": "210-617-4239",
            "fax_number": "210-226-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 Ih 10 W Bldg 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782579509",
            "country_code": "US",
            "telephone_number": "726-567-6300",
            "fax_number": "145-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RUTILO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "TXB121256",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144158602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1441586-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.