Gonzalo Martinez Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13580 Issued in AZ

Practice address

2554 Morgan City Ave
Henderson, NV 89052-7118

Phone

(702) 616-3966

Fax

(702) 616-3966

NPI assigned

Jan 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Magellan Health Services of Arizona, Inc

  • Case Management Agency
  • Gilbert, AZ
  • NPI 1194965145
  NPD (past)
• Vo of Arizona, Inc.

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1578800439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 MORGAN CITY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890527118",
            "telephone_number": "702-616-3966",
            "fax_number": "702-616-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 MORGAN CITY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890527118",
            "telephone_number": "702-616-3966",
            "fax_number": "702-616-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "13580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Martinez-Alcala, RN
• Amberlee Martinez
• Christopher Martinez, DDS
• Crystal Chariee Martinez, APRN, FNP-C
• Daniel Martinez
• Jeffrey Bryan Sison Martinez, OTR/L
• Jesus Gabriel Martinez, OD
• Jose Martinez
• Joy Martinez
• Lara Martinez

• Psychiatry Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.