Active NPI
Cervando Martinez Jr., M.D.
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1831132273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D9228
- Practice address
- 7526 Louis Pasteur Dr
San Antonio, TX 78229-4001 - Phone
- (210) 450-6440
- Fax
- (210) 450-2104
- NPI assigned
- Jun 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | D9228 | TX | |
| Psychiatry Physician | 2084P0800X | D9228 | TX | Primary |
Addresses
Primary practice location
7526 Louis Pasteur Dr
San Antonio, TX 78229-4001
Mailing address
7526 Louis Pasteur Dr
San Antonio, TX 78229-4001
Phone (210) 450-6440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102510805 | Other | TX | CSHCN |
| 102510804 | Medicaid | TX | |
| 102510803 | Medicaid | TX |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9228 | TX | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1831132273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7526 LOUIS PASTEUR DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294001",
"telephone_number": "210-450-6440",
"fax_number": "210-450-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7526 LOUIS PASTEUR DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294001",
"telephone_number": "210-450-6440",
"fax_number": "210-450-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CERVANDO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "D9228",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "D9228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "102510805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102510804",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102510803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.