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NPI Code Detail

MEDICARE: JOSEPH MARTINEZ

MEDICARE:   JOSEPH  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
13747P1801XPersonal Care Attendant

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 : 1942856729
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MARTINEZ
Provider Business Mailing Address
First Line : 5332 MANOR STONE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2951
Country : US
Telephone Number : 702-265-1282
Fax Number :
Provider Business Practice Location Address
First Line : 5332 MANOR STONE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2951
Country : US
Telephone Number : 702-265-1282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2019
Last Update Date : 08/16/2019

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Directions to “ JOSEPH MARTINEZ ” Practice Location

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