Provider Demographics
NPI:1609539469
Name:MARTINS, ADAM SAINT
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:SAINT
Last Name:MARTINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USCGC VALIANT (WMEC-621)
Mailing Address - Street 2:NAVSTA MAYPORT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32228
Mailing Address - Country:US
Mailing Address - Phone:904-270-6207
Mailing Address - Fax:
Practice Address - Street 1:USCGC VALIANT (WMEC-621)
Practice Address - Street 2:NAVSTA MAYPORT
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32228
Practice Address - Country:US
Practice Address - Phone:904-270-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman