NPI 1215574421
Kevin Jesus Martinez
Practice location
- Address
- Navy Medicine Support Command Attn: Medical Staff Svcs Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140
- Phone
- (760) 725-3213
- Mailing address
- 365 Pomelo Dr APT F20, Vista, CA 92081-6373
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1215574421
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Dec 2019
- Record last updated
- 6 Dec 2019
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.