Individual
IVANA MARTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5649
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101282244
VA
208D00000X
General Practice Physician
Primary
0116037336
VA
Other
Enumeration date
03/15/2022
Last updated
03/16/2026
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