Individual
MARIO ITALO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 DORA ST, SAN ANTONIO, TX 78212-1516
(210) 358-8255
(210) 644-8025
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9500
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD12082
RI
Other
Enumeration date
07/04/2006
Last updated
02/01/2021
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