Individual
ENRIQUE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 HWY 187, HATCH, NM 87937-0370
(575) 267-3088
(575) 267-4606
Mailing address
255 HWY 187, P.O BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
78-217
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12195
—
NM
Enumeration date
08/24/2005
Last updated
02/10/2010
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