CARLOS GERARDO MARTINEZ ELIZONDO MD
NPI 1972207967
Student in an Organized Health Care Education/Training Program in Clinton Township, MI
About Carlos Gerardo Martinez Elizondo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS GERARDO MARTINEZ ELIZONDO MD (NPI 1972207967) is an individual student in an organized health care education/training program in Clinton Township, Michigan and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
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)
Carlos Gerardo Martinez Elizondo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON TOWNSHIP, MI 48038
CLINTON TWP, MI 48038
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 Carlos Martinez Elizondo's NPI number?
The NPI number for Carlos Martinez Elizondo is 1972207967. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Carlos Martinez Elizondo located?
Carlos Martinez Elizondo practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2976.
What is Carlos Martinez Elizondo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Carlos Martinez Elizondo enrolled in Medicare?
Yes. Carlos Martinez Elizondo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carlos Martinez Elizondo was last updated on March 31, 2023. 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.
# Carlos Gerardo Martinez Elizondo, MD · NPI 1972207967
Student in an Organized Health Care Education/Training Program provider in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1972207967 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 15855 19 MILE RD, Clinton Township, MI 48038-3504
- **Phone:** (586) 263-2976
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972207967) · Data from the CMS NPPES public registry.