Healthcare Provider Details

I. General information

NPI: 1922240449
Provider Name (Legal Business Name): FELIPE MARTINEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FELIPE MARTINEZ GONZALEZ M.D.

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US

IV. Provider business mailing address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone: 480-301-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME110093
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number3501233R54
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number65567
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: