| Marina Janell Martinez, SLP | |
|
122 S Gold Ave Ste A, Deming, NM 88030-3755 | |
| (575) 283-0200 | |
| (575) 283-0238 |
| Full Name | Marina Janell Martinez |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 122 S Gold Ave Ste A, Deming, 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 |
|---|---|---|---|
| 1649013921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SAH-2024-0184 (New Mexico) | Primary |
| Provider Name | Vida Therapy Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619621000 PECOS PAC ID: 7810377579 Enrollment ID: O20220712001814 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Janell Martinez, SLP 122 S Gold Ave Ste A, Deming, NM 88030-3755 Ph: (575) 283-0200 | Marina Janell Martinez, SLP 122 S Gold Ave Ste A, Deming, NM 88030-3755 Ph: (575) 283-0200 |
Mrs. Yvonne Contreras, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5150 Aspen Rd Sw, Deming, NM 88030 Phone: 575-537-4010 | |
Tanya A Ackerman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 W Florida St, Deming, NM 88030 Phone: 505-546-0427 | |
Jovanna Encinias, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Diamond Ave, Deming, NM 88030 Phone: 575-642-1366 | |
Tessa Penn-smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Elm St, Deming, NM 88030 Phone: 575-546-5951 | |
Rustin Daniel Richins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6135 Paintbrush Rd Sw, Deming, NM 88030 Phone: 575-543-8318 | |
Lauren C Lustek, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1321 E Poplar St, Deming, NM 88030 Phone: 575-546-5951 Fax: 575-546-5994 | |
Mrs. Sahra J Martinez, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Diamond Ave, Deming, NM 88030 Phone: 505-546-0427 |