Individual provider Active NPI

Miguel A Martinez-Vela, M.D.

  • Pediatrics Physician
  • Raymondville, TX
National Provider Identifier
1982610085
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K7052 Issued in TX
Practice address
131 FM 3168
Raymondville, TX 78580-3605
Phone
(956) 689-2196
Fax
(956) 689-5937
NPI assigned
Jul 31, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K7052 TX Primary

Addresses

Primary practice location

131 FM 3168
Raymondville, TX 78580-3605

Mailing address

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750

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
I20061010000722 TX Practitioner - Pediatric Medicine 8921004268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Su Clinica FamiliarGroup PAC ID 5496663429, 24 clinicians

Practice addresses (Care Compare)

105 E Alton Gloor Blvd
Brownsville, TX 78526-3391
Phone (956) 831-8338

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7052TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Nov 8, 2010 Accepting new patients

Locations

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

131 FM 3168
Raymondville, TX 78580
Phone (956) 689-2196

Interoperability endpoints

  • Direct secure messaging: miguel.martinez-vela.1@27715.direct.athenahealth.com

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982610085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-365-6750",
            "fax_number": "365-365-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FM 3168",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803605",
            "telephone_number": "956-689-2196",
            "fax_number": "956-689-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-VELA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

Verify at the official NPI Registry.