Provider Demographics
NPI:1114159019
Name:MARTINEZ RAMIREZ, JOEL JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:JOSE
Last Name:MARTINEZ RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOEL
Other - Middle Name:JOSE
Other - Last Name:MARTINEZ-RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4300 WEST 7TH ST
Mailing Address - Street 2:OFC 111/LR
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5484
Mailing Address - Country:US
Mailing Address - Phone:501-257-4540
Mailing Address - Fax:501-257-4526
Practice Address - Street 1:4300 WEST 7TH ST
Practice Address - Street 2:OFC 111/LR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5484
Practice Address - Country:US
Practice Address - Phone:501-257-4540
Practice Address - Fax:501-257-4526
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2020-04-01
Deactivation Date:2018-05-30
Deactivation Code:
Reactivation Date:2018-06-05
Provider Licenses
StateLicense IDTaxonomies
FLME113425207RH0002X, 207R00000X
PAMD446162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine