Provider Demographics
NPI:1972912558
Name:MARTINEZ, ANEL ANN
Entity Type:Individual
Prefix:MRS
First Name:ANEL
Middle Name:ANN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ANEL
Other - Middle Name:ANN
Other - Last Name:SANCHEZ-LLAMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3025 BEYER BLVD STE E-101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-3432
Mailing Address - Country:US
Mailing Address - Phone:619-428-5533
Mailing Address - Fax:619-428-5535
Practice Address - Street 1:3025 BEYER BLVD STE E-101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-3432
Practice Address - Country:US
Practice Address - Phone:619-428-5533
Practice Address - Fax:619-428-5535
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program