Individual
JOSE S MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PMG PEDIATRIC INTENSIVISTS, PRESBYTERIAN HOSPITAL 1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106
(505) 841-1163
(505) 724-7043
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94-322
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28846
—
NM
Enumeration date
08/30/2006
Last updated
08/14/2008
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