Provider Demographics
NPI:1922996982
Name:MARTINEZ, HECTOR HUMBERTO (RD, CSSD, ISAK1)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:HUMBERTO
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:RD, CSSD, ISAK1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 J F KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-1652
Mailing Address - Country:US
Mailing Address - Phone:201-424-8408
Mailing Address - Fax:
Practice Address - Street 1:69 J F KENNEDY DR
Practice Address - Street 2:
Practice Address - City:MILLTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08850-1652
Practice Address - Country:US
Practice Address - Phone:201-424-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5989133VN1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics