Individual provider Active NPI

Marco A Martinez, PA

  • Physician Assistant
  • Alton, TX
National Provider Identifier
1629700869
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17042 Issued in TX
Practice address
306 E Main Ave Ste 6
Alton, TX 78573-6955
Phone
(956) 597-3005
Fax
(855) 576-4965
NPI assigned
Jun 27, 2022
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17042 TX Primary
Medical Physician Assistant 363AM0700X PA17042 TX

Addresses

Primary practice location

306 E Main Ave Ste 6
Alton, TX 78573-6955

Mailing address

2107 Joy St
Edinburg, TX 78539-6061
Phone (956) 975-8401

Other practice location 1

2107 Joy St
Edinburg, TX 78539-6061
Phone (956) 975-8401

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730003244 TX Practitioner - Physician Assistant 3870030554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1821 S Sesame SQ
Suite 10
Harlingen, TX 78550-7941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17042TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Inpatient Services PLLC CurrentSince Feb 1, 2026 Accepting new patients
Valley AIDS Council CurrentSince Jul 23, 2025 Accepting new patients

Locations

857 E Washington St
Ste G
Brownsville, TX 78520
Phone (956) 541-2600

1821 S Sesame Sq
Ste 10
Harlingen, TX 78550
Phone (956) 212-9377

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2306 Camelot Plaza Cir
Harlingen, TX 78550
Phone (956) 428-2653

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

300 S Col Rowe Blvd
Ste 101
McAllen, TX 78501
Phone (956) 541-2600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1629700869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 JOY ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396061",
            "telephone_number": "956-975-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN AVE STE 6",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785736955",
            "telephone_number": "956-597-3005",
            "fax_number": "855-576-4965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Joy St",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785396061",
            "country_code": "US",
            "telephone_number": "956-975-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARCO",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-05-05",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17042",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1207 W. University Drive",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785392999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, TX

Sources for this page

Verify at the official NPI Registry.