Active NPI
Juan J Martin MD PLLC
- Neurological Surgery Physician
- San Antonio, TX
National Provider Identifier
1679947626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- Q0504
- Legal business name
- JUAN J MARTIN MD PLLC
- Practice address
- 8811 Village Dr
Suite 301
San Antonio, TX 78217-5415 - Phone
- (210) 229-7234
- Fax
- (210) 229-7235
- NPI assigned
- Nov 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan J Martin, MD
- Title
- Owner
- Phone
- (210) 365-6171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Q0504 | TX | Primary |
Addresses
Primary practice location
8811 Village Dr
Suite 301
San Antonio, TX 78217-5415
Mailing address
100 N Santa Rosa St
#728
San Antonio, TX 78207-3205
Phone (210) 229-7234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341067201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2600 North Loop W
Ste 310
Houston, TX 77092
Phone (281) 653-2686
2311 W Alabama St
Houston, TX 77098
Phone (713) 773-2273
8811 Village Dr
Ste 301
San Antonio, TX 78217
Phone (210) 229-7234
Interoperability endpoints
- https://api.platform.athenahealth.com/12650/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460505600000",
"number": "1679947626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N SANTA ROSA ST",
"address_2": "#728",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073205",
"telephone_number": "210-229-7234",
"fax_number": "210-229-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 VILLAGE DR",
"address_2": "SUITE 301",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175415",
"telephone_number": "210-229-7234",
"fax_number": "210-229-7235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN J MARTIN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-13",
"last_updated": "2016-04-13",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-365-6171",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "TX",
"license": "Q0504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341067201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.