Sergio Martinez, RN
Individual provider Active NPI Registered Nurse · Davis Junction, IL
NPI 1740928795 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1740928795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041504790 (IL)
- Practice address
- 12521 E High Rd
Davis Junction, IL 61020-9717 - Phone
- (815) 904-2332
- NPI assigned
- May 20, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041504790 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041504790 | IL | Yes |
Addresses
Primary practice location
12521 E High Rd
Davis Junction, IL 61020-9717
Mailing address
12521 E High Rd
Davis Junction, IL 61020-9717
Phone (815) 904-2332
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | endpoint |
Other providers in Davis Junction, IL
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- Kayla Kimbell
- Link & Learn ABA
- Lynnville Scott White Rock FPD
- Mobile Imaging Solutions, Inc.
- Daniel R Retzer
- Margret M. Saint Louis
- Swedishamerican Hospital
- Samantha Kristine Traum
All providers in Davis Junction, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.