Most Relevant Information
Provider Data
| NPI Number: | 1003562984 |
| Provider Name: | JOSE LUIS MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP1071076 |
Most Important Dates
| Enumeration Date: | 03/01/2022 |
| Last Updated: | 03/01/2022 |
Provider Practice Location
131 N FM 3167 STE C
RIO GRANDE CITY
TX
785827009
Practice Location Phone/Fax
| Phone: | 9563521344 |
| Fax: | 9563521343 |
Provider Mailing Location
131 N FM 3167 STE C
RIO GRANDE CITY
TX
785827009
Provider Mailing Phone/Fax
| Phone: | 9563521344 |
| Fax: | 9563521343 |