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NPI Code Detail

MEDICARE: MR. JORGE MARTINEZ-GUZMAN RN

MEDICARE: MR. JORGE MARTINEZ-GUZMAN RN
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
1163WC0200XCritical Care Medicine Registered NurseRN2728322FL
2163WN0800XNeuroscience Registered Nurse752752CA

General Provider Information

NPI Number : 1881692101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JORGE MARTINEZ-GUZMAN RN
Provider Business Mailing Address
First Line : 6087 N BUNGALOW LN
Second Line :
City : FRESNO
State : CA
Zip : 93704-1519
Country : US
Telephone Number : 561-373-5228
Fax Number :
Provider Business Practice Location Address
First Line : 6087 N BUNGALOW LN
Second Line :
City : FRESNO
State : CA
Zip : 93704-1519
Country : US
Telephone Number : 561-373-5228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 12/04/2015

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