Provider Demographics
NPI:1467294793
Name:MARTINEZ, HILDA ITZEL
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:ITZEL
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SOBIESKI ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3718
Mailing Address - Country:US
Mailing Address - Phone:585-694-8138
Mailing Address - Fax:
Practice Address - Street 1:22 SOBIESKI ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3718
Practice Address - Country:US
Practice Address - Phone:585-694-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula