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Individual
MR. JUAN EDWARDO MARTINEZ
Active
Individual
MR. JUAN EDWARDO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
01/29/2026
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