Marco A. Martinez Rivera | |
4566 Florence Ave Suite #5 Cudahy CA 90201-4345 | |
(323) 771-7466 | |
(323) 771-4920 |
Full Name | Marco A. Martinez Rivera |
---|---|
Speciality | Internal Medicine |
Location | 4566 Florence Ave, Cudahy, California |
Authorized Official Name and Position | Marco A Martinez (M.D.) |
Authorized Official Contact | 3237717466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marco A. Martinez Rivera 4566 Florence Ave Suite # 5 Cudahy CA 90201-4345 Ph: (323) 771-7466 | Marco A. Martinez Rivera 4566 Florence Ave Suite #5 Cudahy CA 90201-4345 Ph: (323) 771-7466 |
NPI Number | 1134447089 |
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Provider Enumeration Date | 05/17/2010 |
Last Update Date | 05/17/2010 |
Medicare PECOS PAC ID | 3870618309 |
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Medicare Enrollment ID | O20100921000358 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134447089 | NPI | - | NPPES |
00A540761 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A54076 (California) | Primary |
Provider Name | Marco A Martinez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700924909 PECOS PAC ID: 9739179078 Enrollment ID: I20100910000102 |
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