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NPI Code Detail

MEDICARE: MARTIN JOSE ARRAIZ M.D.

MEDICARE: MARTIN JOSE ARRAIZ 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
1208100000XPhysical Medicine & Rehabilitation Physician9611NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3250013236OTHERNVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1XPY199375OTHERCAMEDI-CAL PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790766798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN JOSE ARRAIZ M.D.
Provider Business Mailing Address
First Line : 6255 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2882
Country : US
Telephone Number : 775-786-3040
Fax Number : 775-788-5242
Provider Business Practice Location Address
First Line : 6255 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2882
Country : US
Telephone Number : 775-245-6117
Fax Number : 775-245-6118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 11/11/2021

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