Individual
BENJAMIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 S PRAIRIE AVE, PUEBLO, CO 81005-2253
(719) 561-1291
(719) 561-8660
Mailing address
1726 S PRAIRIE AVE, PUEBLO, CO 81005-2253
(719) 561-1291
(719) 561-8660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23493
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234939
—
CO
Enumeration date
04/24/2007
Last updated
06/06/2008
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