Provider Demographics
NPI:1336020544
Name:BELMONTES-MARTINEZ, BRISEIDA IRIS (MT)
Entity type:Individual
Prefix:
First Name:BRISEIDA
Middle Name:IRIS
Last Name:BELMONTES-MARTINEZ
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 WOODED ACRES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4466
Mailing Address - Country:US
Mailing Address - Phone:956-621-8952
Mailing Address - Fax:
Practice Address - Street 1:1428 WOODED ACRES DR STE 100
Practice Address - Street 2:STUDIO 7
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4466
Practice Address - Country:US
Practice Address - Phone:956-621-8952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT109379225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty