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NPI Code Detail

MEDICARE: CECILIA I MARTINEZ M.D.

MEDICARE:   CECILIA I MARTINEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2007-00825NC
2207Q00000XFamily Medicine PhysicianM8165TX

General Provider Information

NPI Number : 1013130442
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA I MARTINEZ M.D.
Provider Business Mailing Address
First Line : 526 N HENRY ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2233
Country : US
Telephone Number : 703-348-9110
Fax Number : 703-348-9111
Provider Business Practice Location Address
First Line : 5860 COLUMBIA PIKE STE 105
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-2047
Country : US
Telephone Number : 703-348-9110
Fax Number : 703-888-3848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 03/15/2021

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Directions to “ CECILIA I MARTINEZ M.D.” Practice Location

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