Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Juan Carlos Martinez Grullon, MD

Individual provider Plastic Surgery Physician · NPI 1154589950

Dr. Juan Carlos Martinez Grullon, MD is a Plastic and Reconstructive Surgery in Fort Worth, Texas. Qualified in 2007, 19 years ago. Practices with Plastic Surgery Associates PA, an 8-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
19
Licensed in
PA, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 8th Ave Ste 265
Fort Worth, TX 76104-4124
Phone: (682) 200-8580
Fax: (682) 200-8581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence T3999 (TX)
Plastic Surgery Physician Taxonomy 208200000X · Licence MD448858 (PA)
Plastic Surgery Physician Taxonomy 208200000X · Licence T3999 (TX)

Record details

NPI number1154589950
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Plastic Surgery Associates Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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