NPI Code Details Logo

NPI 1174714364

NPI 1174714364 : SYLVIA AMADOR MARTINEZ MD : EL PASO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174714364
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SYLVIA AMADOR MARTINEZ MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/05/2007
-----------------------------------------------------
    Last Update Date     |    06/03/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5001 N PIEDRAS ST 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79930-4210
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-564-6100
-----------------------------------------------------
    Fax                  |    915-564-7526
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10780 PEBBLE HILLS BLVD STE G1
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79935-2039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-564-6100
-----------------------------------------------------
    Fax                  |    915-564-7526
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    BP1-0028950
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    N5843
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.