Provider Demographics
NPI:1659373520
Name:MARTINEZ, HECTOR RAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:RAUL
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1810 MURCHISON DR
Mailing Address - Street 2:STE 300
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2930
Mailing Address - Country:US
Mailing Address - Phone:915-533-8544
Mailing Address - Fax:915-533-8207
Practice Address - Street 1:1810 MURCHISON DR
Practice Address - Street 2:STE 300
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2930
Practice Address - Country:US
Practice Address - Phone:915-533-8544
Practice Address - Fax:915-533-8207
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2016-07-28
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Provider Licenses
StateLicense IDTaxonomies
TXD5784207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123402306Medicaid
TX123402307Medicaid
TX297862YLPSOtherWELLMED PTAN
C18877Medicare UPIN
TX297862YL1WMedicare PIN