Provider Demographics
NPI:1396793295
Name:MARTINEZ, JIM P (MD)
Entity type:Individual
Prefix:DR
First Name:JIM
Middle Name:P
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7517 N CAMINO SIN VACAS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1296
Mailing Address - Country:US
Mailing Address - Phone:520-219-4131
Mailing Address - Fax:
Practice Address - Street 1:6236 E PIMA
Practice Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-327-6874
Practice Address - Fax:520-327-0028
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2018-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ12334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D37247Medicare UPIN