San Martin Medical , PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN MARTIN MEDICAL , PLLC

Practice address

7876 US Hwy 117 S Unit a
Rocky Point, NC 28457-8408

Phone

(910) 675-9200

Fax

(910) 675-0008

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo L. Valdivia, MDNPI 1841257797

Title

Owner

Phone

(910) 599-5232

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Luis Valdivia, MD

  • Family Medicine Physician
  • Kinston, NC
  • NPI 1841257797
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1992093546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7876 US HWY 117 S UNIT A",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578408",
            "telephone_number": "910-675-9200",
            "fax_number": "910-675-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7876 US HWY 117 S UNIT A",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578408",
            "telephone_number": "910-675-9200",
            "fax_number": "910-675-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARTIN MEDICAL , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-599-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918307",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sanmartinmedical.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7876 US Hwy 117 S Unit A",
            "city": "Rocky Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284578408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Micheala Pencola, LCSWA, LCASA
• Pender Memorial Hospital, Inc.
• Sarah E Plant-Nowachek, FHC
• Christi Ray, DO
• Rocky Point Urgent Care LLC
• Amanda Schwennesen
• Sheba L. Shiver, PHD
• Matthew Bryan Spudy, FNP
• Enetta Denyse Strand
• Sunshine Therapy

• Family Medicine Physician in Rocky Point, NC
• Providers in Rocky Point, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.