=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164326286
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MIGUEL JOEL MARTINEZ
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2026
-----------------------------------------------------
Last Update Date | 10/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7718 LOUIS PASTEUR DR
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78229-3975
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-614-1414
-----------------------------------------------------
Fax | 210-614-3078
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7718 LOUIS PASTEUR DR
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78229-3975
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-614-1414
-----------------------------------------------------
Fax | 210-614-3078
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225CA2400X
-----------------------------------------------------
Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225CA2500X
-----------------------------------------------------
Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------