Individual
DANIEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Mailing address
806 MORA ST, LAS VEGAS, NM 87701-3691
(575) 519-0806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-1275
NM
Other
Enumeration date
11/21/2025
Last updated
11/25/2025
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