Individual
CARLOS O MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
031793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00459841M
—
GA
05
—
00459841N
—
GA
05
—
00459841U
—
GA
01
—
390007351
RAILROAD MEDICARE
GA
01
—
CJ4042
RAILROAD MEDICARE GROUP
GA
Enumeration date
11/30/2006
Last updated
05/02/2024
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