Organization
RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY ELIAS MARTINEZ (OWNER)
(831) 476-1542
Entity
Organization
Contact information
Practice address
1661 SOQUEL DR, BUILDING G, SANTA CRUZ, CA 95065
(831) 476-1542
(831) 464-8977
Mailing address
PO BOX 1630, EVANSVILLE, IN 47706-0031
(831) 476-7711
(831) 462-0581
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73806Z
—
CA
Enumeration date
08/15/2006
Last updated
03/04/2024
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