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NPI Code Detail

MEDICARE: MS. NATALIE MARTINEZ MS, DIV

MEDICARE:  MS. NATALIE  MARTINEZ  MS, DIV
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

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

General Provider Information

NPI Number : 1700370178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATALIE MARTINEZ MS, DIV
Provider Business Mailing Address
First Line : 3528 I ST STE 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1449
Country : US
Telephone Number : 215-425-5099
Fax Number : 215-425-5199
Provider Business Practice Location Address
First Line : 3528 I ST STE 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134
Country : US
Telephone Number : 215-425-5099
Fax Number : 215-425-5199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 06/28/2018

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