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NPI Code Detail

MEDICARE: YANIRE C MARTINEZ MD

MEDICARE: YANIRE C MARTINEZ MD
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
1207R00000XInternal Medicine Physician33040KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093705311
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANIRE C MARTINEZ MD
Provider Business Mailing Address
First Line : 1 S CREEK DR
Second Line : STE 102
City : MONTICELLO
State : KY
Zip : 42633-9472
Country : US
Telephone Number : 606-348-3365
Fax Number : 606-348-8496
Provider Business Practice Location Address
First Line : 1 S CREEK DR
Second Line : STE 102
City : MONTICELLO
State : KY
Zip : 42633-9472
Country : US
Telephone Number : 606-348-3365
Fax Number : 606-348-8496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 07/27/2010

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Directions to “ YANIRE C MARTINEZ MD” Practice Location

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