Provider Demographics
NPI:1346808961
Name:MARTINEZ, MARIA ISABEL (NURSE ASSISTANT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:NURSE ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 CORONA DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6345
Mailing Address - Country:US
Mailing Address - Phone:760-429-3560
Mailing Address - Fax:
Practice Address - Street 1:707 CORONA DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-6345
Practice Address - Country:US
Practice Address - Phone:760-429-3560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health