Provider Demographics
NPI:1972516151
Name:MARTINEZ, FRANCISCO (MD)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:890 EASTLAKE PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4520
Mailing Address - Country:US
Mailing Address - Phone:619-421-2949
Mailing Address - Fax:619-216-0971
Practice Address - Street 1:890 EASTLAKE PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4520
Practice Address - Country:US
Practice Address - Phone:619-421-2949
Practice Address - Fax:619-216-0971
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA77347C207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A773470Medicaid
CA00A773470Medicaid
CAH73527Medicare UPIN