# DR. ANGEL R MARTINEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053429894
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 503 | NH | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1958 | FL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 503 | NH | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 10/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30003798 | — | NH |
| 01 | — | 313215 | AMERIGROUP | FL |