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NPI Code Detail

MEDICARE: ANA LUISA MARTINEZ

MEDICARE: ANA LUISA 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
1235Z00000XSpeech-Language Pathologist106703TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558655092
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LUISA MARTINEZ
Provider Business Mailing Address
First Line : 4849 N MESA ST STE 201
Second Line :
City : EL PASO
State : TX
Zip : 79912-5919
Country : US
Telephone Number : 915-351-6600
Fax Number : 915-351-6601
Provider Business Practice Location Address
First Line : 7144 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-3502
Country : US
Telephone Number : 915-990-8683
Fax Number : 915-444-5908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 11/22/2019

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Directions to “ ANA LUISA MARTINEZ ” Practice Location

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