Dr Humberto D Martinez, MD | |
105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 | |
(505) 426-3795 | |
(505) 368-7011 |
Full Name | Dr Humberto D Martinez |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 105 Mills Ave Ste 200, Las Vegas, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659420560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G52422 (California) | Primary |
174400000X | Specialist | G52422 (California) | Secondary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
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Dr Humberto D Martinez, MD 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 | Dr Humberto D Martinez, MD 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 |
Dr. Teddi Swidinsky, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Legion Dr Ste B, Las Vegas, NM 87701 Phone: 505-426-3795 | |
Timothy Antonio Jessie, MD Surgery Medicare: Medicare Enrolled Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701 Phone: 505-426-3795 Fax: 505-425-2653 | |
Wendy Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701 Phone: 505-426-3795 |