Evangelina E Martinez Md Inc | |
2 Upper Ragsdale Dr Ste B200 Monterey CA 93940-7844 | |
(831) 375-6334 | |
(831) 375-6331 |
Full Name | Evangelina E Martinez Md Inc |
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Speciality | Family Medicine |
Location | 2 Upper Ragsdale Dr Ste B200, Monterey, California |
Authorized Official Name and Position | Evangelina Matrinez (OWNER/PROVIDER) |
Authorized Official Contact | 8313756334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evangelina E Martinez Md Inc 2 Upper Ragsdale Dr Ste B200 Monterey CA 93940-7844 Ph: (831) 375-6334 | Evangelina E Martinez Md Inc 2 Upper Ragsdale Dr Ste B200 Monterey CA 93940-7844 Ph: (831) 375-6334 |
NPI Number | 1053876284 |
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Provider Enumeration Date | 02/01/2019 |
Last Update Date | 08/06/2019 |
Medicare PECOS PAC ID | 0547596496 |
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Medicare Enrollment ID | O20190730002527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053876284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Evangelina Martinez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023193430 PECOS PAC ID: 0840250353 Enrollment ID: I20041018001281 |
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