Provider Demographics
NPI:1730463381
Name:MARTINEZ, ORALIA A (FNP)
Entity Type:Individual
Prefix:MS
First Name:ORALIA
Middle Name:A
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 S CAGE BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6349
Mailing Address - Country:US
Mailing Address - Phone:956-781-8396
Mailing Address - Fax:956-781-8398
Practice Address - Street 1:1536 S CAGE BLVD STE 5
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6349
Practice Address - Country:US
Practice Address - Phone:956-781-8396
Practice Address - Fax:956-781-8398
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX303436502Medicaid