Martinez, Alicia

Martinez, Alicia is an individual health care provider with primary practice located at 3921 E Baseline Rd Suite 102, Gilbert AZ 85234-2727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martinez, Alicia can be contacted via phone (480) 615-2010.

Contact Information

Primary practice address
3921 E Baseline Rd Suite 102 Gilbert AZ 85234-2727
Fax: (480) 545-4158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15059 Arizona

Profile Details

NPI number 1609866961
LBN Legal business name Martinez, Alicia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609866961 NPPES
Arizona MEDICAID 269705

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