Martinez, Miguel Juan
Martinez, Miguel Juan is an sole proprietor health care provider with primary practice located at 11515 Toepperwein Rd Ste 201 , Live Oak TX 78233-3166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Martinez, Miguel Juan can be contacted via phone (210) 646-6978.Contact Information
Primary practice address
11515 Toepperwein Rd Ste 201
Live Oak TX 78233-3166
Phone: (210) 646-6978
Fax: (210) 646-6979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | J4905 | Texas |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | J4905 | Texas |
Profile Details
| NPI number | 1013091586 |
|---|---|
| LBN Legal business name | Martinez, Miguel Juan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Nov 21st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013091586 | NPPES |
| Puerto Rico | MEDICAID | 096812502 | |
| Puerto Rico | MEDICAID | 096812504 | |
| Puerto Rico | Other | 0065AY | |
| Puerto Rico | Other | C0085771 |
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