Martinez, Sandra
Martinez, Sandra is an sole proprietor health care provider with primary practice located at 101 Livingston Loop Ste C1 , Santa Teresa NM 88008-9753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is her primary health care specialty. Martinez, Sandra can be contacted via phone (575) 824-9000.Contact Information
Primary practice address
101 Livingston Loop Ste C1
Santa Teresa NM 88008-9753
Phone: (575) 824-9000
Fax: (866) 232-9241
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 0059C | New Mexico |
Profile Details
NPI number | 1881862654 |
---|---|
LBN Legal business name | Martinez, Sandra |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2008 |
Last updated | Apr 2nd, 2018 - about 6 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 | 1881862654 | NPPES |
New Mexico | MEDICAID | 73721760 |
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