Provider Demographics
NPI:1477278307
Name:MARTE A MARTINEZ MD PLLC
Entity Type:Organization
Organization Name:MARTE A MARTINEZ MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTE
Authorized Official - Middle Name:AQUILES
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-795-8393
Mailing Address - Street 1:PO BOX 450708
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0017
Mailing Address - Country:US
Mailing Address - Phone:956-795-8393
Mailing Address - Fax:956-795-8396
Practice Address - Street 1:2637 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8436
Practice Address - Country:US
Practice Address - Phone:956-631-9041
Practice Address - Fax:956-664-2416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARTE A. MARTINEZ, MDPLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-04
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty