MANUEL ROMAN MARTINEZ I (NPI# 1881182830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881182830 |
| Entity Type | Individual |
| Full Name | MANUEL ROMAN MARTINEZ I |
| Credential | CAC 1 |
| Practice Address |
720 N Main St Ste 240 Pueblo CO 81003-3046 |
| Mailing Address |
1611 Glenwood Ln Pueblo CO 81005-2213 |
| Practice Telephone | 7195697909 |
| Mailing Telephone | 7192489629 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0007634 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
| 1437598018 | Manuel Abraham Martinez | Behavioral Analyst | 3225 Mcleod Dr, Suite 100, Las Vegas, NV 89121-2257 | 2013-06-17 |
| 1598030777 | Manuel C Martinez | General Practice | 10031 Sw 40th St, Miami, FL 33165-3945 | 2012-03-20 |
| 1801082169 | Manuel A Martinez | Psychiatry & Neurology | 77 Gran Bulevar De Los Prados, Urb. Islabella, Caguas, PR 00727-3202 | 2007-09-20 |
| 1487729364 | Manuel Martinez | Pediatrics | 4006 W 26th St, Chicago, IL 60623-3708 | 2006-11-23 |
| 1447244017 | Manuel A Martinez | Internal Medicine | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2005-09-09 |
| 1336633841 | Manuel Martinez | Marriage & Family Therapist | 2080 S E St Ste 200, San Bernardino, CA 92408 | 2018-06-18 |
| 1831682616 | Manuel Martinez | General Practice | 2070 S Military Trl, West Palm Beach, FL 33415-6409 | 2018-06-07 |
| 1275047748 | Manuel Alexander Martinez | Registered Nurse | 6801 Coldwater Canyon Ave, North Hollywood, CA 91605-5162 | 2017-11-20 |
| 1346792736 | Manuel Jesus Martinez Jr. | Registered Nurse | 3107 S Grand Ave, Los Angeles, CA 90007-3816 | 2016-11-01 |
| Street Address |
720 N MAIN ST STE 240 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324142 | Kandy Kay Herrick | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-26 |
| 1891283859 | Alice M Montoya | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 1952820292 | Victoria Lynn Wallace | Counselor | 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | 2017-09-19 |
| 1548703937 | Bradley James Rusovick | Counselor | 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 | 2016-12-02 |
| 1225393267 | Michael Todd Kragt | Counselor | 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 | 2012-07-05 |
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1497011613 | Sarah Nicole Sandstrom | Counselor | 560 S Bond Dr, Pueblo, CO 81007-1697 | 2012-04-02 |
| 1093088890 | Oasis Counseling, A Pllc | Counselor | 200 W 29th St, Pueblo, CO 81008-1004 | 2012-02-10 |
| 1083918247 | Leo Paul Arguello | Counselor | 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 | 2011-01-03 |
| 1689831737 | Matthew Anthony Capranelli | Counselor | 719 W 29th St, Pueblo, CO 81008-1183 | 2008-05-16 |
| 1407051204 | Eugene Espinosa | Counselor | Crossroads Turning Points, Inc, 3470 Baltimore Ave, Pueblo, CO 81008 | 2007-06-20 |
| Find all providers in PUEBLO | ||||
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| 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.