Martinez, Reynaldo Roman

Martinez, Reynaldo Roman is an sole proprietor health care provider with primary practice located at 805 Sherrill Ln , Roswell NM 88201-3469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martinez, Reynaldo Roman can be contacted via phone (505) 622-2882.

Contact Information

Primary practice address
805 Sherrill Ln Roswell NM 88201-3469
Fax: (505) 622-2883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2002-0070 New Mexico

Profile Details

NPI number 1245224914
LBN Legal business name Martinez, Reynaldo Roman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Jul 25th, 2011 - about 13 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 1245224914 NPPES
New Mexico MEDICAID 04655362

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