MEDICARE: DR. AZALIA V MARTINEZ M.D., FAAP

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
1	207P00000X	Emergency Medicine Physician	F1781	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8U7818	OTHER	TX	BCBS
3	P00364147	OTHER	TX	RAILROAD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497716344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AZALIA V MARTINEZ M.D., FAAP

Provider Business Mailing Address
First Line	:	1300 E RIO GRANDE AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4815
Country	:	US
Telephone Number	:	915-545-1261
Fax Number	:	915-545-2450

Provider Business Practice Location Address
First Line	:	1300 E RIO GRANDE AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4815
Country	:	US
Telephone Number	:	915-545-1261
Fax Number	:	915-545-2450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/06/2015

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