Individual provider Active NPI

Guillermo G Martinez-Torres, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Milwaukee, WI
National Provider Identifier
1982710935
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
43166 Issued in WI
Practice address
2025 E. Newport Ave
North Shore Pathologists, SC
Milwaukee, WI 53211-2906
Phone
(414) 961-3976
NPI assigned
Aug 22, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 43166 WI Primary

Addresses

Primary practice location

2025 E. Newport Ave
North Shore Pathologists, SC
Milwaukee, WI 53211-2906

Mailing address

2025 E. Newport Ave
North Shore Pathologists, SC
Milwaukee, WI 53211-2906
Phone (414) 961-3976

Other identifiers 1

IdentifierTypeStateIssuer
34254100MedicaidWI

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43166WIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Rehabilitation Institute, Inc Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1982710935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E. NEWPORT AVE",
            "address_2": "NORTH SHORE PATHOLOGISTS, SC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112906",
            "telephone_number": "414-961-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E. NEWPORT AVE",
            "address_2": "NORTH SHORE PATHOLOGISTS, SC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112906",
            "telephone_number": "414-961-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-TORRES",
        "first_name": "GUILLERMO",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "43166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34254100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.