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Contact Information

JORGE A. MARTINEZ, MD, PA
1615 12TH AVE RD STE B
NAMPA, ID83686-6184
 Phone: 208-498-1700
 Fax: 208-498-1745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JORGE A. MARTINEZ, MD, PA

NPI Number 1043374812
LBN Legal business name JORGE A. MARTINEZ, MD, PA
Authorized official JORGE MARTINEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 10/11/2007 - About 19 years ago
Identifiers
ID License # M6114
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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