Martinez, Ian R
Martinez, Ian R is an individual health care provider with primary practice located at 2572 W State Road 426 Ste 1000 , Oviedo FL 32765-8389. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Martinez, Ian R can be contacted via phone (407) 478-0882.Contact Information
Primary practice address
2572 W State Road 426 Ste 1000
Oviedo FL 32765-8389
Phone: (407) 478-0882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD.203345 | Louisiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 20601 | Puerto Rico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20601 | Puerto Rico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME130998 | Florida |
Profile Details
| NPI number | 1376734962 |
|---|---|
| LBN Legal business name | Martinez, Ian R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2007 |
| Last updated | May 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376734962 | NPPES |
| Mississippi | MEDICAID | 09379218 | |
| Mississippi | MEDICAID | 1006190 |
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