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NPI Code Detail

MEDICARE: MARCOS MARTINEZ

MEDICARE:   MARCOS  MARTINEZ
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1114461027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS MARTINEZ
Provider Business Mailing Address
First Line : 90 W ASHLAN AVE STE 100
Second Line :
City : CLOVIS
State : CA
Zip : 93612-5627
Country : US
Telephone Number : 559-473-1770
Fax Number :
Provider Business Practice Location Address
First Line : 90 W ASHLAN AVE STE 100
Second Line :
City : CLOVIS
State : CA
Zip : 93612-5627
Country : US
Telephone Number : 559-473-1770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2016
Last Update Date : 06/12/2025

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Directions to “ MARCOS MARTINEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.