Provider Demographics
NPI:1740200989
Name:MARTINEZ, DANIEL B (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:854 N HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4544
Mailing Address - Country:US
Mailing Address - Phone:408-262-5223
Mailing Address - Fax:408-262-5011
Practice Address - Street 1:854 N HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4544
Practice Address - Country:US
Practice Address - Phone:408-262-5223
Practice Address - Fax:408-262-5011
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32868173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1740200989Medicare UPIN