Jonathan Martinez

Pediatrics Physician · Minot Afb, ND

Individual Active NPI

NPI number 1659753952

Practice location

10 Missile Ave
Minot Afb, ND 58705-5003
Phone
(701) 723-5491
Fax
(701) 723-5391

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NPI record

NPI
1659753952
Entity type
Individual (Type 1)
Enumeration date
June 23, 2015
Last updated
April 22, 2021
Certified
April 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 29746 NE
Surgery Physician 208600000X 38529 SC

Mailing address

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone
(210) 916-0887

Other practice locations (1)

  • 169 Ashley Ave, Room 202 Main Hospital MSC 333, Charleston, SC 29425-8905 · (843) 792-3072

About Jonathan Martinez

Jonathan Martinez is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 10 Missile Ave, Minot Afb, ND 58705-5003. The NPI number 1659753952 was assigned on June 23, 2015 and the record was last updated on April 22, 2021.

Jonathan Martinez lists 2 licenses in the registry: #29746 (NE) for Pediatrics Physician; #38529 (SC) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Martinez?

The NPI number is 1659753952.

What is the phone number of Jonathan Martinez?

The phone number listed for the practice location is (701) 723-5491.

Where is Jonathan Martinez located?

10 Missile Ave, Minot Afb, ND 58705-5003.

What is the taxonomy code for Jonathan Martinez?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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