Provider Demographics
NPI:1851125975
Name:MARTINEZ TORRES, CYNTHIA NAYELY
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NAYELY
Last Name:MARTINEZ TORRES
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 1:200 DESERT PASS ST APT 133
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3665
Mailing Address - Country:US
Mailing Address - Phone:325-450-2587
Mailing Address - Fax:
Practice Address - Street 1:1014 N STANTON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4109
Practice Address - Country:US
Practice Address - Phone:915-230-2074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily