Provider Demographics
NPI:1578237632
Name:MARTINEZ, CARMEN M
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:M
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11668
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-0668
Mailing Address - Country:US
Mailing Address - Phone:720-298-9810
Mailing Address - Fax:303-688-1609
Practice Address - Street 1:2351 PARK CENTRE DR APT 2-210
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-5644
Practice Address - Country:US
Practice Address - Phone:720-298-9810
Practice Address - Fax:303-688-1609
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter