Provider Demographics
NPI:1326208133
Name:MARTINEZ, OLGA MILENA (DO)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:MILENA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 CHIMNEY SWEEP CIR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3304
Mailing Address - Country:US
Mailing Address - Phone:954-260-2731
Mailing Address - Fax:
Practice Address - Street 1:701 5TH AVE STE 2300
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-7041
Practice Address - Country:US
Practice Address - Phone:866-657-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-15
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10374207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBW654ZMedicare PIN