Provider Demographics
NPI:1215106885
Name:MARTINEZ, ANGE; R (RDMS)
Entity type:Individual
Prefix:MR
First Name:ANGE;
Middle Name:R
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
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Mailing Address - Street 1:1804 JUNE ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-3146
Mailing Address - Country:US
Mailing Address - Phone:505-843-9836
Mailing Address - Fax:505-332-9825
Practice Address - Street 1:2004 ARENAL RD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-4043
Practice Address - Country:US
Practice Address - Phone:505-307-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography