Individual
DR. DESIRAE JANELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1635 AURORA CT FL 5, AURORA, CO 80045-2541
(720) 848-3400
Mailing address
12631 E 17TH AVE FL 8, AURORA, CO 80045-2527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0073168
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029629
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/04/2021
Last updated
12/10/2024
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