Provider Demographics
NPI:1356980163
Name:JEFFREY M. MARTINEZ, M.D., P.A.
Entity type:Organization
Organization Name:JEFFREY M. MARTINEZ, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-380-3715
Mailing Address - Street 1:7500 BARLITE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1362
Mailing Address - Country:US
Mailing Address - Phone:210-540-6766
Mailing Address - Fax:210-903-8044
Practice Address - Street 1:7500 BARLITE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1362
Practice Address - Country:US
Practice Address - Phone:210-540-6766
Practice Address - Fax:210-903-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty