Provider Demographics
NPI:1164672952
Name:MARTINEZ, LUCINDA
Entity Type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 CULEBRA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6211
Mailing Address - Country:US
Mailing Address - Phone:210-736-1400
Mailing Address - Fax:210-736-1440
Practice Address - Street 1:851 CULEBRA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6211
Practice Address - Country:US
Practice Address - Phone:210-736-1400
Practice Address - Fax:210-736-1440
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care