Provider Demographics
NPI:1225254428
Name:ROBERT D. MARTINEZ, M.D.,P.A.
Entity Type:Organization
Organization Name:ROBERT D. MARTINEZ, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-631-8888
Mailing Address - Street 1:1200 E SAVANNAH AVE
Mailing Address - Street 2:SUITE #8
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1727
Mailing Address - Country:US
Mailing Address - Phone:956-631-8888
Mailing Address - Fax:956-631-1037
Practice Address - Street 1:1200 E SAVANNAH AVE
Practice Address - Street 2:SUITE #8
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1727
Practice Address - Country:US
Practice Address - Phone:956-631-8888
Practice Address - Fax:956-631-1037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5038207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00026320OtherRAILROAD MEDICARE #
TXH72580Medicare UPIN
GAP00026320OtherRAILROAD MEDICARE #