MEDICARE: ADVANCED SURGICAL CENTER OF LAREDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1154266013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SURGICAL CENTER OF LAREDO

Provider Business Mailing Address
First Line	:	7612 ROCIO DR.
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6550
Country	:	US
Telephone Number	:	956-334-3825
Fax Number	:

Provider Business Practice Location Address
First Line	:	7612 ROCIO DR
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6550
Country	:	US
Telephone Number	:	956-334-3825
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARTE AQUILES MARTINEZ JR.
Credential	:	MD
Telephone Number	:	214-223-5757

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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