Individual
DR. RUPERTO RICARDO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5120 VISTA DE LUZ DR NW, ALBUQUERQUE, NM 87120-1907
(505) 899-2620
(505) 897-2199
Mailing address
5120 VISTA DE LUZ DR NW, ALBUQUERQUE, NM 87120-1907
(505) 899-2620
(505) 897-2199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
426
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00L240
BLUE CROSS-BLUE SHIELD
NM
01
—
20089
PRESBYTERIANHEALTH PLAN
NM
Enumeration date
10/20/2006
Last updated
07/08/2007
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