Individual
MR. JEREMY ANGELO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
STATE ROAD 571 BLDG 28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-4731
Mailing address
STATE ROAD 571 BLDG 28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-4731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R49706
NM
Other
Enumeration date
10/21/2008
Last updated
02/15/2013
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