Individual
JUAN C MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR STE 201, HAMMOND, LA 70403-1431
(985) 230-7440
(985) 230-7441
Mailing address
15813 PAUL VEGA MD DRIVE, SUITE 201, HAMMOND, LA 70403-1434
(985) 230-7440
(985) 230-7441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307204
LA
390200000X
Student in an Organized Health Care Education/Training Program
GETP.201428
LA
Other
Enumeration date
10/12/2007
Last updated
03/17/2018
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