# MARTINEZ VASCULAR INSTITUTE AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073213310
- **Authorized official:** BERNARDO DANIEL MARTINEZ MD (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (913) 912-3624

## Contact information

- **Practice address:** 11025 METCALF AVENUE, OVERLAND PARK, KS 66210
- **Practice address phone:** (913) 912-3624
- **Practice address fax:** (913) 717-6362
- **Mailing address:** 11025 METCALF AVENUE, OVERLAND PARK, KS 66210
- **Mailing address phone:** (913) 912-3624
- **Mailing address fax:** (913) 717-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 04/18/2023