Active NPI
Gerardo Martinez, CRT,RPSGT
- Other Specialist/Technologist
- Laredo, TX
National Provider Identifier
1518180405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 6102
- Practice address
- 4001 McPherson Ave
Suite 105
Laredo, TX 78041-5281 - Phone
- (956) 725-2922
- Fax
- (956) 723-2412
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 6102 | TX | Primary |
Addresses
Primary practice location
4001 McPherson Ave
Suite 105
Laredo, TX 78041-5281
Mailing address
4001 McPherson Ave
Suite 105
Laredo, TX 78041-5281
Phone (956) 725-2922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PL7138 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1566069-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6102 | TX | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1518180405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 MCPHERSON AVE",
"address_2": "SUITE 105",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415281",
"telephone_number": "956-725-2922",
"fax_number": "956-723-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 MCPHERSON AVE",
"address_2": "SUITE 105",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415281",
"telephone_number": "956-725-2922",
"fax_number": "956-723-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "GERARDO",
"name_prefix": "Mr.",
"credential": "CRT,RPSGT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "TX",
"license": "6102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PL7138",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1566069-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.