Active NPI
Guillermo G Martinez-Torres, MD
- Anatomic Pathology & Clinical Pathology Physician
- Milwaukee, WI
National Provider Identifier
1982710935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 43166
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34254100 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43166 | WI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Ascension Sacred Heart Rehabilitation Hospital
- Physical Medicine & Rehabilitation Physician
- Milwaukee, WI
- NPI 1225075203
-
- Specialist
- Zion, IL
- NPI 1548258072
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.