Individual
JUAN CARLOS MARTINEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
96832
GA
2084N0400X
Neurology Physician
S9028
TX
390200000X
Student in an Organized Health Care Education/Training Program
268195
MA
Other
Enumeration date
07/11/2016
Last updated
12/14/2023
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