Active NPI
Miranda Nicole Martinez, PA
- Physician Assistant
- Pharr, TX
National Provider Identifier
1588033922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 114 W Cherokee Ave
Pharr, TX 78577-4725 - Phone
- (956) 752-3909
- Fax
- (956) 295-3141
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | Primary |
Addresses
Primary practice location
114 W Cherokee Ave
Pharr, TX 78577-4725
Mailing address
114 W Cherokee Ave
Pharr, TX 78577-4725
Phone (956) 752-3909
Other practice location 1
122 W Champion St
Edinburg, TX 78539-4429
Phone (956) 287-1207
Other practice location 2
1900 S Jackson Rd Ste 1
McAllen, TX 78503-1589
Phone (956) 340-4222
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Direct Care Pharr | Current | Accepting new patients |
Locations
114 W Cherokee Ave
Pharr, TX 78577
Phone (956) 666-1854
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1770604688
-
- Endocrinology, Diabetes & Metabolism Physician
- McAllen, TX
- NPI 1669980058
-
- Family Medicine Physician
- Pharr, TX
- NPI 1356117352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1588033922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 W CHEROKEE AVE",
"city": "PHARR",
"state": "TX",
"postal_code": "785774725",
"telephone_number": "956-752-3909",
"fax_number": "956-295-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W CHEROKEE AVE",
"city": "PHARR",
"state": "TX",
"postal_code": "785774725",
"telephone_number": "956-752-3909",
"fax_number": "956-295-3141"
}
],
"practiceLocations": [
{
"address_1": "122 W Champion St",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785394429",
"country_code": "US",
"telephone_number": "956-287-1207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 S Jackson Rd Ste 1",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785031589",
"country_code": "US",
"telephone_number": "956-340-4222",
"fax_number": "956-307-3234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MIRANDA",
"middle_name": "NICOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.