Individual
MR. JUAN ENRIQUE MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5320 S. RAINBOW BLVD., STE 282, LAS VEGAS, NV 89118
(702) 737-3808
(702) 737-0154
Mailing address
5320 S. RAINBOW BLVD., STE 282, LAS VEGAS, NV 89118
(702) 737-3808
(702) 737-0154
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11049
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
7379
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019383
—
NV
Enumeration date
01/03/2006
Last updated
02/10/2011
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