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
Phone: (505) 622-2882
Fax: (505) 622-2883
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245224914 | NPPES |
New Mexico | MEDICAID | 04655362 |
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