Provider Demographics
NPI:1912010968
Name:MARTINEZ, ANA F (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:F
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:F
Other - Last Name:BOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3751 N. CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266
Mailing Address - Country:US
Mailing Address - Phone:330-296-3641
Mailing Address - Fax:
Practice Address - Street 1:6751 N. CHESTNUT
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266
Practice Address - Country:US
Practice Address - Phone:330-296-3641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0703652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry