Individual
MRS. TONI A. MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
336 LUNA AVE, LOS LUNAS, NM 87031-1436
(505) 865-7955
(505) 866-7191
Mailing address
PO BOX 1436, LOS LUNAS, NM 87031-1436
(505) 865-7955
(505) 866-7191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
522
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201079553
PRES HEALTH PLAN/SALUD
NM
01
—
695951
UNITED HEALTHCARE
NM
01
—
90328
LOVELACE SALUD
NM
01
—
D0641
DDWAIVER
NM
05
—
K-2312
—
NM
01
—
NM00N637
BCBS
NM
Enumeration date
05/16/2008
Last updated
05/16/2008
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