Modesto Alonzo Martinez

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

14203 Business Ave
Laredo, TX 78045-7909

Phone

(956) 744-1264

NPI assigned

May 20, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Medica 2000 USA LLC

  • Durable Medical Equipment & Medical Supplies
  • Laredo, TX
  • NPI 1043093784
  NPD Authorized official

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1609514629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14203 BUSINESS AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457909",
            "telephone_number": "956-744-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14203 BUSINESS AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457909",
            "telephone_number": "956-744-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MODESTO",
        "middle_name": "ALONZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DL",
            "identifier": "11650142",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAREDO",
            "affiliation": "N",
            "address_1": "14203 Business Ave",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780457909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marte Aquiles Martinez Jr., MD
• Martha Martinez, RNC
• Mauricio Martinez Jr., RPH
• Maxine K Martinez
• Michael A Martinez Sr.
• Myriam Alina Martinez, PA-C
• Nereida Martinez
• Norma Nicole Martinez
• Oscar Martinez
• Pablo Francisco Martinez III, M.D.

• Contractor in Laredo, TX
• Providers in Laredo, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.