Individual provider Active NPI

Iliuva Ramirez Martinez, APRN-CNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1851161806
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1006384 Issued in TX
Practice address
9751 Walnut St Ste 100
Dallas, TX 75243-2345
Phone
(469) 730-3130
Fax
(469) 730-3154
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1006384 TX Primary

Addresses

Primary practice location

9751 Walnut St Ste 100
Dallas, TX 75243-2345

Mailing address

4455 Thornton St Apt 325
Fort Worth, TX 76106-2536
Phone (512) 201-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729003897 TX Practitioner - Nurse Practitioner 7214314616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Hispana del Metroplex LLC CurrentSince Aug 1, 2024 Accepting new patients
Clinica Guadalupe Mesquite LLC PastSince Apr 16, 2023 Accepting new patients
Guadalupe MC LLC Past Accepting new patients
HLC Health Services LLC PastSince Oct 6, 2024 Accepting new patients
Clinica Guadalupe Walnut Hill LLC PastSince Apr 16, 2023 Accepting new patients
Clinica de Guadalupe Beltline LLC PastSince Apr 16, 2023 Accepting new patients
Clinica Guadalupe Fort Worth LLC PastSince May 28, 2023 Accepting new patients
Clinica Guadalupe Broadway LLC PastSince Apr 16, 2023 Accepting new patients
MD Family Solutions PLLC Past Accepting new patients
Consuegra Ricardo Company LLC PastSince Apr 16, 2023 Accepting new patients
Clinica Guadalupe Garland, LLC PastSince Dec 6, 2022 Accepting new patients
Clinica Guadalupe Grand Plaza,LLC PastSince Apr 16, 2023 Accepting new patients

Locations

2760 E Trinity Mills Rd
Ste 106
Carrollton, TX 75006
Phone (469) 892-5604

14115 Josey Ln
Ste 300
Dallas, TX 75234
Phone (972) 241-8442

1905 W Ennis Ave
Ste 504
Ennis, TX 75119
Phone (972) 247-5884

2741 Ellis Ave
Fort Worth, TX 76164
Phone (817) 386-9926

Organizations & group practices 12

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1851161806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 THORNTON ST APT 325",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761062536",
            "telephone_number": "512-201-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 WALNUT ST STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432345",
            "telephone_number": "469-730-3130",
            "fax_number": "469-730-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ MARTINEZ",
        "first_name": "ILIUVA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1006384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.