Healthcare Provider Details

I. General information

NPI: 1619656055
Provider Name (Legal Business Name): MARTINEZ WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 COUNTY ROAD A6
SAPELLO NM
87745-5031
US

IV. Provider business mailing address

211 COUNTY ROAD A6
SAPELLO NM
87745-5031
US

V. Phone/Fax

Practice location:
  • Phone: 505-429-9681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA ROSARIO MARTINEZ
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 505-429-9681