Individual provider Active NPI

Martin Guerrero Jr., M.D.

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1952591935
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G5130 Issued in TX
Practice address
2311 N Mesa St
Ste C
El Paso, TX 79902-3575
Phone
(915) 271-8785
Fax
(915) 615-4456
NPI assigned
Jul 26, 2007
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G5130 TX Primary

Addresses

Primary practice location

2311 N Mesa St
Ste C
El Paso, TX 79902-3575

Mailing address

2311 N Mesa St Ste C
El Paso, TX 79902-3575
Phone (915) 271-8785

Other identifiers 1

IdentifierTypeStateIssuer
133587905MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001203 TX Practitioner - Psychiatry 6002894094 Reassigns benefits to 4 organizations
Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2311 N Mesa St
Suite C
El Paso, TX 79902-3575
Phone (915) 271-8785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G5130TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Nke New Leaf LLC CurrentSince Apr 1, 2023 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Mindful Living Center, LLC CurrentSince Apr 1, 2022 Accepting new patients
Nueva Vida Adult Daycare, LLC PastSince Apr 20, 2020 Accepting new patients
Alfredo H Arellano Pmhcns-BC PA Psychiatry PastSince Jun 1, 2019 Accepting new patients

Locations

10737 Gateway Blvd W
Ste 204
El Paso, TX 79935
Phone (252) 626-7424

10921 Pellicano Dr
Ste 110
El Paso, TX 79935
Phone (915) 313-4114

1714 N Mesa St
El Paso, TX 79902
Phone (915) 286-6370

4615 Alameda Ave
El Paso, TX 79905
Phone (432) 268-7247

6700 Delta Dr
El Paso, TX 79905
Phone (915) 782-6300

805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1952591935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-271-8785",
            "fax_number": "915-615-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST",
            "address_2": "STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-271-8785",
            "fax_number": "915-615-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARTIN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133587905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.