GUSTAVO MARTINEZ


Address: 814 Myrtle Ave, El Paso, TX 79901-1512
Phone: 9152417272

GUSTAVO MARTINEZ (NPI# 1336392968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336392968
Entity Type Organization
Organization Name GUSTAVO MARTINEZ
Other Organization Name INTERVENTIONS INTERNATIONAL
Practice Address 814 Myrtle Ave
El Paso
TX 79901-1512
Practice Telephone 9152417272
Practice Fax Number 8775879452
Mailing Telephone 9152417272
Mailing Fax Number 8775879452
Enumeration Date 2008-10-28
Last Update Date 2009-07-10
Authorized Official Name GUSTAVO R MARTINEZ (OWNER)
Authorized Official Telephone 9152417272
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 0056RY 01

Other Provider/Organization Names

Other Name Type Code
Interventions International Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities GUSTAVO MARTINEZ LLC 43177 Barnstead Dr, Ashburn, Virginia 20148

Office Location

Street Address 814 MYRTLE AVE
City EL PASO
State TX
Zip Code 79901-1512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154397651 Gustavo R Martinez Social Worker 814 Myrtle Ave, El Paso, TX 79901-1512 2006-02-24

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City EL PASO
Zip Code 79901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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