Provider Demographics
NPI:1942887245
Name:MARTINEZ, LIANA (EMT)
Entity Type:Individual
Prefix:
First Name:LIANA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-5264
Mailing Address - Country:US
Mailing Address - Phone:209-346-3320
Mailing Address - Fax:
Practice Address - Street 1:1861 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-5264
Practice Address - Country:US
Practice Address - Phone:209-346-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No172V00000XOther Service ProvidersCommunity Health Worker
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant