Juan Luis Martinez, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CSA0200581 Issued in NM

Practice address

4001 Office Court Dr Ste 701
Santa Fe, NM 87507-4905

Phone

(505) 207-8929

NPI assigned

Jun 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1770100653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 701",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074905",
            "telephone_number": "505-207-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 701",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074905",
            "telephone_number": "505-207-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 S Camino Del Pueblo",
            "address_purpose": "LOCATION",
            "city": "Bernalillo",
            "state": "NM",
            "postal_code": "870045931",
            "country_code": "US",
            "telephone_number": "505-507-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "credential": "LSAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0200581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Martinez, M.A, L.A.D.A.C.
• Jillian Martinez, MOT OTR/L
• Johana E Martinez I
• Jose B Martinez, P.A.
• Joseph Martinez
• Julie Martinez, MD
• Louanna Martinez
• Lynore Margaret Martinez, MD
• Marisol Martinez, PHARM.D.
• Meg Ann Martinez, M.A

• Addiction (Substance Use Disorder) Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.