MEDICARE: SARAH E. DIAZ MARTINEZ MD

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	207Q00000X	Family Medicine Physician	MT225427	PA

General Provider Information

NPI Number	:	1871211938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E. DIAZ MARTINEZ MD

Provider Business Mailing Address
First Line	:	640 KOLTER DR
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3570
Country	:	US
Telephone Number	:	724-357-7196
Fax Number	:	724-357-7279

Provider Business Practice Location Address
First Line	:	121 S MAIN ST
Second Line	:
City	:	HOMER CITY
State	:	PA
Zip	:	15748-1518
Country	:	US
Telephone Number	:	724-479-2583
Fax Number	:	724-479-0749

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

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	11/18/2025

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