Provider Demographics
NPI:1174647382
Name:MARTINEZ, SAILA ZULMA (MSW)
Entity Type:Individual
Prefix:MS
First Name:SAILA
Middle Name:ZULMA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 TOWER ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402
Mailing Address - Country:US
Mailing Address - Phone:650-655-6216
Mailing Address - Fax:650-572-2414
Practice Address - Street 1:31 TOWER ROAD
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402
Practice Address - Country:US
Practice Address - Phone:650-655-6216
Practice Address - Fax:650-572-2414
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker