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NPI Code Detail

MEDICARE: IVONNE VEGA MARTINEZ MD

MEDICARE:   IVONNE  VEGA 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316820699
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVONNE VEGA MARTINEZ MD
Provider Business Mailing Address
First Line : 4200 N CHAI ST APT 613
Second Line :
City : MCALLEN
State : TX
Zip : 78504-0539
Country : US
Telephone Number : 956-570-9852
Fax Number :
Provider Business Practice Location Address
First Line : 5501 S MCCOLL RD
Second Line :
City : EDINBURG
State : TX
Zip : 78539
Country : US
Telephone Number : 956-362-3505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2025
Last Update Date : 07/25/2025

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