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NPI Code Detail

MEDICARE: MERCY MARTINEZ

MEDICARE: MERCY 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
1175T00000XPeer Specialist
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1457709982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCY MARTINEZ
Provider Business Mailing Address
First Line : 47915 OASIS ST
Second Line :
City : INDIO
State : CA
Zip : 92201-6950
Country : US
Telephone Number : 760-863-8455
Fax Number : 760-393-3215
Provider Business Practice Location Address
First Line : 1330 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-4477
Country : US
Telephone Number : 951-849-7142
Fax Number : 951-849-1762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2016
Last Update Date : 12/05/2025

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Directions to “ MERCY MARTINEZ ” Practice Location

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