Provider Demographics
NPI:1275963498
Name:MARTINEZ, ABIUD ELI (CSFA)
Entity Type:Individual
Prefix:
First Name:ABIUD
Middle Name:ELI
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4411
Mailing Address - Country:US
Mailing Address - Phone:210-887-1231
Mailing Address - Fax:
Practice Address - Street 1:154 CABOT ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4411
Practice Address - Country:US
Practice Address - Phone:210-887-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant