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NPI Code Detail

MEDICARE: JULIO CESAR MARTINEZ M.D.

MEDICARE: JULIO CESAR MARTINEZ M.D.
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
1207Q00000XFamily Medicine PhysicianA73319CA

General Provider Information

NPI Number : 1710974084
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO CESAR MARTINEZ M.D.
Provider Business Mailing Address
First Line : 450 E BIRCH ST
Second Line :
City : CALEXICO
State : CA
Zip : 92231-2375
Country : US
Telephone Number : 760-768-6262
Fax Number : 760-351-7106
Provider Business Practice Location Address
First Line : 450 E BIRCH ST
Second Line :
City : CALEXICO
State : CA
Zip : 92231-2375
Country : US
Telephone Number : 760-768-6262
Fax Number : 760-351-7106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 08/09/2022

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