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Individual
DR. JORGE MARTINEZ
Active
Individual
DR. JORGE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G80432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G804320
BLUE SHIELD
CA
05
—
00G804320
—
CA
01
—
P00372137
MEDICARE RAILROAD
GA
Enumeration date
05/18/2006
Last updated
01/11/2018
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