Organization
REYNALDO R. MARTINEZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MARTINEZ (OFFICE MANAGER)
(575) 622-2882
Entity
Organization
Contact information
Practice address
313 W COUNTRY CLUB RD, ROSWELL, NM 88201
(575) 622-2882
(575) 622-2883
Mailing address
PO BOX 278, ROSWELL, NM 88202
(575) 622-2882
(575) 622-2883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-0070
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04655362
—
NM
Enumeration date
08/21/2006
Last updated
10/30/2007
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