| Enrique Martinez, M.d., P.c. | |
|
3114 A Shrine Road Brunswick GA 31520 | |
| (912) 261-2535 | |
| (912) 261-2508 |
| Full Name | Enrique Martinez, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3114 A Shrine Road, Brunswick, Georgia |
| Authorized Official Name and Position | Enrique C Martinez (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9122612535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Martinez, M.d., P.c. 3114 A Shrine Road Brunswick GA 31520 Ph: (912) 261-2535 | Enrique Martinez, M.d., P.c. 3114 A Shrine Road Brunswick GA 31520 Ph: (912) 261-2535 |
| NPI Number | 1699193599 |
|---|---|
| Provider Enumeration Date | 03/29/2014 |
| Last Update Date | 03/29/2014 |
| Medicare PECOS PAC ID | 4587885116 |
|---|---|
| Medicare Enrollment ID | O20141024001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699193599 | NPI | - | NPPES |
| 000325531A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Enrique C Martinez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891794830 PECOS PAC ID: 0941338552 Enrollment ID: I20100503000014 |
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