Organization
LYNORE M MARTINEZ MD PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNORE M MARTINEZ MD (OWNER)
(505) 988-4922
Entity
Organization
Contact information
Practice address
405 KIVA CT, SANTA FE, NM 87505
(505) 988-4922
(505) 988-4924
Mailing address
405 KIVA CT, SANTA FE, NM 87505
(505) 988-4922
(505) 988-4924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
95294
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00068674
—
NM
01
—
NM009T01
BLUE CROSS
NM
Enumeration date
10/22/2007
Last updated
12/21/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up