NPI 1013398452
Tommy Martinez
Practice location
- Address
- 904 E Fairview Ln B, Espanola, NM 87532-2822
- Phone
- (505) 747-1991
- Mailing address
- 282 S Camino del Pueblo STE 2-C, Bernalillo, NM 87004-5909
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013398452
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jun 2015
- Record last updated
- 11 Jun 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.