Jose Daniel Martinez-gamba, MD | |
1012 W Abriendo Ave, Pueblo, CO 81004-1128 | |
(719) 583-2207 | |
Not Available |
Full Name | Jose Daniel Martinez-gamba |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1012 W Abriendo Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285935262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | DR0052975 (Colorado) | Primary |
Entity Name | Diversus Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
Mailing Address | Practice Location Address |
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Jose Daniel Martinez-gamba, MD 1012 W Abriendo Ave, Pueblo, CO 81004-1128 Ph: (719) 583-2207 | Jose Daniel Martinez-gamba, MD 1012 W Abriendo Ave, Pueblo, CO 81004-1128 Ph: (719) 583-2207 |
Dr. Robert M. Long, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4495 Fax: 719-546-4476 | |
Dr. Sharon Ann Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 909 Court Street, Pueblo, CO 81003 Phone: 719-583-6430 Fax: 719-583-4577 | |
Scott Andrew Walmer, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Club Manor Drive, Suite 100, Pueblo, CO 81008 Phone: 719-584-4767 Fax: 719-595-7906 | |
Caitlin Vigil, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Holly Anna Waller, APN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Dr. Susan R. Middleton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Club Manor Dr, Pueblo, CO 81008 Phone: 719-584-4767 Fax: 719-595-7906 | |
Dr. Kenneth Rudolph Locke, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4818 |