MEDICARE: ANGEL MARIO 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
1	106S00000X	Behavior Technician	RBT-23-287388	AZ

General Provider Information

NPI Number	:	1457246597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL MARIO MARTINEZ

Provider Business Mailing Address
First Line	:	6463 S 4TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7604
Country	:	US
Telephone Number	:	480-416-8260
Fax Number	:

Provider Business Practice Location Address
First Line	:	6463 S 4TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7604
Country	:	US
Telephone Number	:	480-416-8260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

Similar Medicare Providers

1811527047 — LIVE WELL ASSISTED LIVING
Practice Location Address:

6462 S 4TH ST
PHOENIX, AZ
85042-7604

Practice Phone: 623-399-7824
Practice Fax: 855-538-5652

1427934942 — INTUITIVE THERAPY HEALING
Practice Location Address:

6455 S 4TH ST
PHOENIX, AZ
85042-7604

Practice Phone: 480-228-6178
Practice Fax:

1467611459 — DR. CHRISTOPHER MICHAEL THOMAS D.C.
Practice Location Address:

1726 E THOMAS RD
PHOENIX, AZ
85016-7604

Practice Phone: 602-222-9595
Practice Fax:

1225469836 — DR. SUZANNE MICHELLE THOMAS NMD
Practice Location Address:

1726 E THOMAS RD
PHOENIX, AZ
85016-7604

Practice Phone: 602-222-9595
Practice Fax:

1104434141 — FIRST CHOICE HOSPICE LLC
Practice Location Address:

1738 E THOMAS RD
PHOENIX, AZ
85016-7604

Practice Phone: 602-842-2485
Practice Fax:

1932106192 — JANINE SUTTER FNP
Practice Location Address:

325 E BASELINE RD
PHOENIX, AZ
85042-6589

Practice Phone: 602-243-7277
Practice Fax: 602-243-1235

Directions to “ ANGEL MARIO MARTINEZ ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.