Individual
MARY S MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 EL PASO RD, LINCOLN COUNTY MEDICAL COMPLEX, RUIDOSO, NM 88345-6033
(575) 630-8350
(575) 630-5232
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-312
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R7505
—
NM
Enumeration date
10/03/2006
Last updated
03/24/2016
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