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Individual

RAFAEL MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8259
(570) 703-7250
Mailing address
100 N ACADEMY AVE # MC4903, DANVILLE, PA 17822-9800
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD431183
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000213116
UNISON
PA
05
1018097010001
PA
01
1957631
HIGHMARK
PA
01
20062974
AMERIHEALTH MERCY
PA
01
2849065000
IBC
PA
01
30042529
KEYSTONE MERCY
PA
01
50070419
CAPITAL ADVANTAGE
PA
01
821628
1ST HEALTH PRIORITY
PA
Enumeration date
12/14/2006
Last updated
06/05/2025
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