MEDICARE: MONICA MARTINEZ

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1548191489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA MARTINEZ

Provider Business Mailing Address
First Line	:	580 W 5TH ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-4419
Country	:	US
Telephone Number	:	775-786-4673
Fax Number	:	775-786-4673

Provider Business Practice Location Address
First Line	:	580 W 5TH ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-4419
Country	:	US
Telephone Number	:	775-786-4673
Fax Number	:	775-786-4673

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ MONICA MARTINEZ ” Practice Location

Language	Start Address	Practice Location

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