Provider Demographics
NPI:1235159104
Name:MARTINEZ, ARTURO A (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:A
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451427
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0035
Mailing Address - Country:US
Mailing Address - Phone:956-726-0647
Mailing Address - Fax:956-725-1575
Practice Address - Street 1:2412 JACAMAN RD
Practice Address - Street 2:STE 103
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6229
Practice Address - Country:US
Practice Address - Phone:956-726-0647
Practice Address - Fax:956-725-1575
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6743207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9797BOtherECFMG
TX138522113Medicaid
TXH6743OtherLICENSE
TX20072680OtherDPS
TXBM1917535OtherDEA
TXH6743OtherLICENSE
TX00626FMedicare PIN