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NPI Code Detail

MEDICARE: JULIO CESAR SANTA MARTINEZ

MEDICARE: JULIO CESAR SANTA 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
1390200000XStudent in an Organized Health Care Education/Training Program005114OH

General Provider Information

NPI Number : 1699607960
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO CESAR SANTA MARTINEZ
Provider Business Mailing Address
First Line : 776 EUCLID AVE APT 913
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-3038
Country : US
Telephone Number : 786-351-4565
Fax Number :
Provider Business Practice Location Address
First Line : 22901 MILLCREEK BLVD STE 200
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5721
Country : US
Telephone Number : 216-377-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JULIO CESAR SANTA MARTINEZ ” Practice Location

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