Manuel Burciaga Martinez M.D.S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MANUEL BURCIAGA MARTINEZ M.D.S.C.

Practice address

4006 West 26TH Street
Chicago, IL 60623

Phone

(773) 762-5050

Fax

(773) 762-2026

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Martinez, MD

Title

President

Phone

(773) 762-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679649503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 W 26TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-762-5050",
            "fax_number": "773-762-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 WEST 26TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-762-5050",
            "fax_number": "773-762-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL BURCIAGA MARTINEZ M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-762-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Mantich, D.P.M.
• Jorge Mantilla, SA-C
• Stelios Mantis, MD
• Wendy L. Manto, M.A., L.C.P.C.
• Manuel a Franco SC
• Manuel Montes de Oca MD PC
• Manuel O Rojas
• Maria Manuel-Rubio, APN
• Paula Manuel, MSN CNM
• Terrill Francis Manuele, L.AC.

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.