Martinez, Waldo Miguel

Martinez, Waldo Miguel is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Martinez, Waldo Miguel can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (806) 791-6709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G8910 Texas

Profile Details

NPI number 1144225459
LBN Legal business name Martinez, Waldo Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Feb 16th, 2022 - about 4 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 1144225459 NPPES
New Mexico MEDICAID X8359
New Mexico MEDICAID 139314209
New Mexico Other 818716
New Mexico Other 118679100
New Mexico Other 87458Y

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