Healthcare Provider Details

I. General information

NPI: 1386271104
Provider Name (Legal Business Name): ALAINA MARTINEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 E PALMDALE ST STE 1301021E
TUCSON AZ
85714-1857
US

IV. Provider business mailing address

1021 E PALMDALE ST STE 130
TUCSON AZ
85714-1859
US

V. Phone/Fax

Practice location:
  • Phone: 520-407-5353
  • Fax: 520-318-6917
Mailing address:
  • Phone: 520-407-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number69282
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number69282
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: