Provider Demographics
NPI:1427080878
Name:MARTINEZ, RAYMOND J (DO)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:J
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3465 WAIALAE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2650
Mailing Address - Country:US
Mailing Address - Phone:808-537-5512
Mailing Address - Fax:808-533-1482
Practice Address - Street 1:3-3295 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1040
Practice Address - Country:US
Practice Address - Phone:808-245-8874
Practice Address - Fax:808-533-1482
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIDOS-1008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A026113OtherHMSA BCBS HAWAII
HI58294101Medicaid
HIH101938Medicare PIN
HI58294101Medicaid