Provider Demographics
NPI:1841865599
Name:MARTINEZ, VINCE IAN RAMOS
Entity type:Individual
Prefix:MR
First Name:VINCE IAN
Middle Name:RAMOS
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 1:234 E 149TH STREET
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, SUITE 8-20
Mailing Address - City:BRONX, NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-579-5874
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH STREET
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, SUITE 8-20
Practice Address - City:BRONX, NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program