Individual provider Active NPI

Jorge Ivan Martinez Osorio, M.D.

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1730385576
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
51843-20 Issued in WI
Practice address
5005 N Piedras St
Nephrology Clinic
El Paso, TX 79920-5001
Phone
(915) 742-2603
NPI assigned
Jun 26, 2007
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 51843-20 WI Primary

Addresses

Primary practice location

5005 N Piedras St
Nephrology Clinic
El Paso, TX 79920-5001

Mailing address

3704 Tierra Lisboa LN
El Paso, TX 79938-4383
Phone (210) 428-7697

Other practice location 1

3851 Roger Brooke Dr
MCHE-QD (Creds)
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1730385576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 TIERRA LISBOA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384383",
            "telephone_number": "210-428-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "address_2": "NEPHROLOGY CLINIC",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "915-742-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "MCHE-QD (Creds)",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ OSORIO",
        "first_name": "JORGE",
        "middle_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "51843-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.