Individual
DR. IGNACIO G MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 E HIGH ST, TUCUMCARI, NM 88401-2726
(505) 461-6200
(505) 461-0404
Mailing address
34 HWY 518 BONITA ESATES # 9, LAS VEGAS, NM 87701
(505) 425-5864
(505) 425-5864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
85-65
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27268
—
NM
Enumeration date
08/01/2006
Last updated
07/08/2007
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