Provider Demographics
NPI:1790766798
Name:ARRAIZ, MARTIN JOSE (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:JOSE
Last Name:ARRAIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6255 SHARLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2882
Mailing Address - Country:US
Mailing Address - Phone:775-786-3040
Mailing Address - Fax:775-788-5242
Practice Address - Street 1:6255 SHARLANDS AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2882
Practice Address - Country:US
Practice Address - Phone:775-245-6117
Practice Address - Fax:775-245-6118
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9611208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXPY199375OtherMEDI-CAL PIN
NV20-16904Medicaid
NV250013236OtherRAILROAD MEDICARE
NV20-16904Medicaid
NVH21309Medicare UPIN