Active NPI
Maurico Antonio Leal Martini, M.D.
- Student in an Organized Health Care Education/Training Program
- Augusta, GA
National Provider Identifier
1740192624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1120 15TH St. Ba 1411
Department of Radiology
Augusta, GA 30912 - Phone
- (762) 375-2209
- Fax
- (706) 721-7319
- NPI assigned
- Sep 17, 2026
- Last updated
- Sep 17, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1120 15TH St. Ba 1411
Department of Radiology
Augusta, GA 30912
Mailing address
1120 15TH St. Ba 1411
Department of Radiology
Augusta, GA 30912
Phone (762) 375-2209
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1740192624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST. BA 1411",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30912",
"telephone_number": "762-375-2209",
"fax_number": "706-721-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST. BA 1411",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30912",
"telephone_number": "762-375-2209",
"fax_number": "706-721-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONIO LEAL MARTINI",
"first_name": "MAURICO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Brian H. Annex, M.D.
- Annie Maes Health Care Services LLC.
- Kaiden Ansari
- Anthony Road Operating Company LLC (Azalea Health and Rehabilitation Center)
- Haley Anthony, LPC
- Antwan Bernard Williams
- Uchenna Fredoline Anunobi, MD
- Clement Anyanwu, M.D
- Christina Anyikwa, M.D.
- Aopi (Augusta Orthotics and Prosthetics, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.