Individual provider Active NPI

Alda Martinez, MPAS, PA-C.

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1982820908
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03405 Issued in TX
Practice address
3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681
Phone
(956) 296-3001
Fax
(956) 296-3000
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03405 TX Primary

Addresses

Primary practice location

3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681

Mailing address

3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681
Phone (956) 296-3001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001029 TX Practitioner - Physician Assistant 7416911318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03405TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Rio Grande NP, Inc. Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1982820908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396681",
            "telephone_number": "956-296-3001",
            "fax_number": "956-296-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396681",
            "telephone_number": "956-296-3001",
            "fax_number": "956-296-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALDA",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.