Individual
MR. MIKE T MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CO2798
CA
222Z00000X
Orthotist
Primary
CO2798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152576
KAISER
CA
01
—
C00027980
BC
CA
05
—
XA0027980
—
CA
Enumeration date
03/13/2008
Last updated
07/25/2008
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.
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