Individual provider Active NPI

Azalia Veronica Martinez, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1740549401
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q6874 Issued in TX
Practice address
23119 W Interstate 10 BLDG 7
San Antonio, TX 78257-1767
Phone
(210) 994-6336
Fax
(210) 994-6441
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q6874 TX Primary

Addresses

Primary practice location

23119 W Interstate 10 BLDG 7
San Antonio, TX 78257-1767

Mailing address

24165 Ih-10 West
Suite 217, #145
San Antonio, TX 78257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6874TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azalia Martinez II, M.D. Psychiatry Current Accepting new patients

Locations

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1740549401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH-10 WEST",
            "address_2": "SUITE 217, #145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 BLDG 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571767",
            "telephone_number": "210-994-6336",
            "fax_number": "210-994-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AZALIA",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q6874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.