Active NPI
Michael J Martinez, MD
- Urology Physician
- Albuquerque, NM
National Provider Identifier
1669407771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 97313
- Practice address
- 5150 Journal Center Blvd NE
Albuquerque, NM 87109 - Phone
- (505) 262-3224
- Fax
- (505) 262-3366
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 97313 | NM | Primary |
Addresses
Primary practice location
5150 Journal Center Blvd NE
Albuquerque, NM 87109
Mailing address
10511 Golf Course Rd NW
Albuquerque, NM 87114-5916
Phone (505) 232-1180
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97313 | NM | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1669407771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10511 GOLF COURSE RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145916",
"telephone_number": "505-232-1180",
"fax_number": "505-232-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 JOURNAL CENTER BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-262-3224",
"fax_number": "505-262-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NM",
"license": "97313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.