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NPI Code Detail

MEDICARE: ROBERT MARTINEZ CNS

MEDICARE: ROBERT MARTINEZ CNS
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
1364S00000XClinical Nurse Specialist4931CA

General Provider Information

NPI Number : 1689523631
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MARTINEZ CNS
Provider Business Mailing Address
First Line : 2819 HIDDEN VALLEY CT
Second Line :
City : SPRING VALLEY
State : CA
Zip : 91977-3473
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5555 GROSSMONT CENTER DR
Second Line :
City : LA MESA
State : CA
Zip : 91942-3019
Country : US
Telephone Number : 619-740-6502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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