Provider Demographics
NPI:1548224942
Name:MARTINEZ, MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9105 STONY POINT PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1979
Mailing Address - Country:US
Mailing Address - Phone:804-287-1030
Mailing Address - Fax:804-288-3529
Practice Address - Street 1:9105 STONY POINT PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1979
Practice Address - Country:US
Practice Address - Phone:804-287-1030
Practice Address - Fax:804-288-3529
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 232901207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3131420OtherALLIANCE
VA42902OtherSOUTHERN HEALTH
VA3661422OtherAETNA HMO
VA56648OtherCARENET
VA2001916OtherUNITED HEALTHCARE
VA5179033OtherAETNA PPO
VA64184OtherSENTARA FAMILY CARE
VAP00096651OtherRAILROAD MEDICARE
VA6247371OtherCIGNA
VACA4541OtherRAILROAD MEDICARE GROUP #
VAC06623OtherMEDICARE GROUP #
VA6247371OtherCIGNA
VA64184OtherSENTARA FAMILY CARE