MARY THERESA MARTINEZ-GONZALEZ
NPI 1619689064
Counselor - Professional in San Antonio, TX
About Mary Theresa Martinez-gonzalez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY THERESA MARTINEZ-GONZALEZ (NPI 1619689064) is an individual professional provider in San Antonio, Texas, licensed in Texas (89409) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Theresa Martinez-gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Martinez-gonzalez's NPI number?
The NPI number for Mary Martinez-gonzalez is 1619689064. It was assigned to this individual provider in the NPPES registry on December 16, 2022.
Where is Mary Martinez-gonzalez located?
Mary Martinez-gonzalez practices at 919 Mission Rd, San Antonio, TX 78210. The listed phone number is (210) 533-1203.
What is Mary Martinez-gonzalez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Martinez-gonzalez enrolled in Medicare?
Yes. Mary Martinez-gonzalez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Martinez-gonzalez was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Theresa Martinez-Gonzalez · NPI 1619689064
Professional provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since December 16, 2022.
## Identity
- **NPI:** 1619689064 (Entity type: Individual)
- **Enumerated:** December 16, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 89409 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 919 MISSION RD, San Antonio, TX 78210-4501
- **Phone:** (210) 533-1203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619689064) · Data from the CMS NPPES public registry.