Provider Demographics
NPI:1396505509
Name:ORDUNO, MARTIN ERIC
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:ERIC
Last Name:ORDUNO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 E COMA AVE
Mailing Address - Street 2:
Mailing Address - City:HIDALGO
Mailing Address - State:TX
Mailing Address - Zip Code:78557-2773
Mailing Address - Country:US
Mailing Address - Phone:956-313-1237
Mailing Address - Fax:
Practice Address - Street 1:326 E COMA AVE
Practice Address - Street 2:
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-2773
Practice Address - Country:US
Practice Address - Phone:956-313-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker