NPI age
18 years
Enumerated 2008-05-28
● Active
Type 1 · Individual
DR. Juan Carlos Martinez Grullon, M.D.
Martinez Grullon is 1 of 28 surgery providers in Fort Worth and 1 of 548 in Texas.
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
TX, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 548 active surgery providers in Texas.
NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 15% of peers are multi-state
Subspecialties
1
In the 40% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
1250 8th Ave Ste 265
Fort Worth, TX 761044124
Mailing address
1250 8th Ave, Ste 265
Fort Worth, TX 761044124
Specialties
-
Surgery PrimaryA surgeon who specializes in plastic and reconstructive surgery.
-
Plastic SurgeryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0182590 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.