Healthcare Provider Details

I. General information

NPI: 1659299659
Provider Name (Legal Business Name): MARIBEL MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD STE 200
SALINAS CA
93906-3127
US

IV. Provider business mailing address

1441 CONSTITUTION BLVD STE 200
SALINAS CA
93906-3127
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-5505
  • Fax: 831-769-8621
Mailing address:
  • Phone: 831-755-5505
  • Fax: 831-769-8621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberUNLICENSED
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: