Provider Demographics
NPI:1881937696
Name:MARTINEZ, ROBERT LOUIS
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOUIS
Last Name:MARTINEZ
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 1:3260 W 14TH AVE
Mailing Address - Street 2:APT 642
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2212
Mailing Address - Country:US
Mailing Address - Phone:720-690-7905
Mailing Address - Fax:
Practice Address - Street 1:3260 W 14TH AVE
Practice Address - Street 2:APT 642
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2212
Practice Address - Country:US
Practice Address - Phone:720-690-7905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other