Provider Demographics
NPI:1457316879
Name:Z. MARTINEZ ORTHOPEDIC SURGERY, INC.
Entity Type:Organization
Organization Name:Z. MARTINEZ ORTHOPEDIC SURGERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZEFERINO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-375-4900
Mailing Address - Street 1:1121 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2033
Mailing Address - Country:US
Mailing Address - Phone:610-375-4900
Mailing Address - Fax:610-375-3071
Practice Address - Street 1:1121 PENN AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2033
Practice Address - Country:US
Practice Address - Phone:610-375-4900
Practice Address - Fax:610-375-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026622E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008625350002Medicaid
PA0008625350002Medicaid