Individual
REYNALDO ROMAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 SHERRILL LN, ROSWELL, NM 88201-3469
(505) 622-2882
(505) 622-2883
Mailing address
313 W COUNTRY CLUB RD, ROSWELL, NM 88201-5804
(505) 622-2882
(505) 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
09/08/2005
Last updated
07/25/2011
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