Juan Luis Martinez, LSAA
Counselor, Addiction (Substance Use Disorder) in Santa Fe, NM. Individual provider (NPI-1).
NPI number1770100653
StatusActive
Last updated in NPPESJun 26, 2020
Details
- NPI
- 1770100653
- Entity type
- Individual (NPI-1)
- Name
- Juan Luis Martinez
- Credential
- LSAA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2020
- Certification date
- Jun 26, 2020
- Last updated
- Jun 26, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CSA0200581 | NM | Yes |
Practice location
4001 Office Court Dr Ste 701Santa Fe, NM 87507-4905
Phone 505-207-8929
Mailing address
4001 Office Court Dr Ste 701Santa Fe, NM 87507-4905
Phone 505-207-8929
Other practice locations
711 S Camino Del Pueblo
Bernalillo, NM 87004-5931
Bernalillo, NM 87004-5931
Phone 505-507-0920
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Addiction (Substance Use Disorder) Counselor providers in Santa Fe · All 5,869 providers in Santa Fe
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