Enrique C. Martinez, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

28603 Issued in GA

Practice address

3114A Shrine Rd
Brunswick, GA 31520-4745

Phone

(912) 261-2535

Fax

(912) 261-2508

NPI assigned

Jul 20, 2005

Reactivated

Mar 27, 2006

Last updated

Mar 27, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Enrique Martinez, M.D., P.C.

  • Internal Medicine Physician
  • Brunswick, GA
  • NPI 1699193599
  Authorized official Same address or phone

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1891794830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 A SHRINE ROAD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204745",
            "telephone_number": "912-261-2535",
            "fax_number": "912-261-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114A SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204745",
            "telephone_number": "912-261-2535",
            "fax_number": "912-261-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ENRIQUE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-03-27",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "28603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000325531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsh Haven
• Marshes Medical Diagnostic Clinic, PC
• Miguel J Martelli, MD
• David E. Martin, MD
• Kelsey Martin, RPH
• Jeon Carter Martinez
• Gilberto J Martorell-Marquez, MD
• Alicia M Mason
• Joe C. Massey, DENTIST
• Samantha Marie Massey

• Cardiovascular Disease Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.