Provider Demographics
NPI:1679688261
Name:MARTINEZ-HOCHBERG, YVETTE M (MD)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:M
Last Name:MARTINEZ-HOCHBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:M
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8410 FAIRHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-6322
Mailing Address - Country:US
Mailing Address - Phone:303-929-4680
Mailing Address - Fax:
Practice Address - Street 1:8410 FAIRHAVEN LN
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117
Practice Address - Country:US
Practice Address - Phone:303-929-4680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO26149207Q00000X
FLME101985207Q00000X
AL36931207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01261494Medicaid
COD11145Medicare ID - Type Unspecified
CO01261494Medicaid