MEDICARE: DR. ANTONIO MARTINEZ FAMILY MEDICINE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1083495188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ANTONIO MARTINEZ FAMILY MEDICINE, PLLC

Provider Business Mailing Address
First Line	:	3101 S 77 SUNSHINESTRIP STE C
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8904
Country	:	US
Telephone Number	:	956-365-9447
Fax Number	:	575-205-0504

Provider Business Practice Location Address
First Line	:	3101 S 77 SUNSHINESTRIP STE C
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8904
Country	:	US
Telephone Number	:	956-365-9447
Fax Number	:	575-205-0504

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTONIO MARTINEZ
Credential	:	MD
Telephone Number	:	956-365-9447

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	10/13/2023

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