Provider Demographics
NPI:1316503618
Name:MARTINEZ-CASAS, RAQUEL
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:
Last Name:MARTINEZ-CASAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32335 BLAZING STAR ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8944
Mailing Address - Country:US
Mailing Address - Phone:310-525-4659
Mailing Address - Fax:
Practice Address - Street 1:30755 AULD RD STE C
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2581
Practice Address - Country:US
Practice Address - Phone:951-600-6750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker