# DAGOBERTO MARTINEZ, MDPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Santa Maria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073569059
- **Authorized official:** MS. MARYANN FORE WHCNP (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (956) 544-2001

## Contact information

- **Practice address:** 95 E PRICE RD BLDG A, BROWNSVILLE, TX 78521-3531
- **Practice address phone:** (956) 544-2001
- **Practice address fax:** (956) 546-4567
- **Mailing address:** 95 E PRICE RD BLDG A, BROWNSVILLE, TX 78521-3531
- **Mailing address phone:** (956) 544-2001
- **Mailing address fax:** (956) 546-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 02/10/2021