Provider Demographics
NPI:1790364313
Name:MARTINEZ, MERCEDES DEY (CPHT)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:DEY
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9238 N LOOP 1604 W
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3526
Mailing Address - Country:US
Mailing Address - Phone:210-682-3419
Mailing Address - Fax:210-682-3947
Practice Address - Street 1:9238 N LOOP 1604 W
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3526
Practice Address - Country:US
Practice Address - Phone:210-682-3419
Practice Address - Fax:210-682-3947
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician