NPI 1063045193

Deminfer J Mejias Martinez

Practitioner Driver Indianapolis, IN

Practice location

Address: 7355 Bimini Ln APT D, Indianapolis, IN 46214-1108
Phone: (786) 862-0893

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence M225170914130 (FL)

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Registry record

NPI: 1063045193
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2020
Record last updated: 17 Feb 2020

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.