Martinez, Mary S

Martinez, Mary S is an individual health care provider with primary practice located at 121 El Paso Rd Lincoln County Medical Complex, Ruidoso NM 88345-6033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martinez, Mary S can be contacted via phone (575) 630-8350.

Contact Information

Primary practice address
121 El Paso Rd Lincoln County Medical Complex Ruidoso NM 88345-6033
Fax: (575) 630-5232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 97-312 New Mexico

Profile Details

NPI number 1396839775
LBN Legal business name Martinez, Mary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 24th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396839775 NPPES
New Mexico MEDICAID 000R7505

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