National Provider Identifier Database

REBECCA L MARTINEZ GONZALEZ, PA-C – NPI #1356307664
Surgical

Contact Information

REBECCA L MARTINEZ GONZALEZ, PA-C
100 BREWSTER BLVD
CAMP LEJEUNE, NC  28547-2575
Phone: 910-450-3902
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for REBECCA L MARTINEZ GONZALEZ

NPI Number 1356307664
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/25/2006
Last updated 09/24/2025 - About 8 months ago
Sole proprietor1 No
Identifiers
  • NC License #: 0010-05853
  • TN License #: 0000000910
  • VA License #: 0110001067
  • VA Other: 1356307664 AETNA
  • VA Other: 1356307664 ANTHEM MEDIGAP
  • VA Other: 1356307664 BLACK LUNG
  • VA Other: 1356307664 HUMANA MEDICARE
  • VA Other: 1356307664 INTOTAL
  • VA Other: 1356307664 MEDICAID QMB
  • VA Other: 1356307664 OPTIMA HEALTH PLAN
  • VA Other: P01041461 RAILROAD MEDICARE
  • VA Other: 1356307664 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
  • VA Other: 540506332108 TRICARE/CHAMPUS
  • VA Other: 1356307664 UMWA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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