Provider Demographics
NPI:1427245000
Name:GONZALEZ-MARTINEZ, ELIANA L (MD)
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:L
Last Name:GONZALEZ-MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5667 PEACHTREE DUNWOODY RD, NE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1761
Mailing Address - Country:US
Mailing Address - Phone:404-252-7200
Mailing Address - Fax:404-252-6780
Practice Address - Street 1:5667 PEACHTREE DUNWOODY RD, NE
Practice Address - Street 2:SUITE 350
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1761
Practice Address - Country:US
Practice Address - Phone:404-252-7200
Practice Address - Fax:404-252-6780
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059728208M00000X
GA59728207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA534346724AMedicaid
GA11SCHTHMedicare PIN