Individual
MR. TELESFOR MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSR
Contact information
Practice address
220 4TH AVE, RATON, NM 87740-2643
(575) 445-2754
(575) 445-2225
Mailing address
600 E RIO GRANDE AVE, RATON, NM 87740-2969
(575) 445-3575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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