Martinez, Ryan

Martinez, Ryan is an individual health care provider with primary practice located at 15A Bay Poe , Santa Fe NM 87506-2731. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Martinez, Ryan can be contacted via phone (505) 455-5591.

Contact Information

Primary practice address
15A Bay Poe Santa Fe NM 87506-2731
Phone: (505) 455-5591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0209611 New Mexico

Profile Details

NPI number 1841671211
LBN Legal business name Martinez, Ryan
Credentials LSAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 1st, 2022 - about 3 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 1841671211 NPPES
New Mexico MEDICAID 503091488

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