Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 57868 | TN |
N | 208000000X | Pediatrician | BP10040960 | TX |
N | 2080P0202X | Pediatric Cardiologist | 11018024A | IN |
NPI | 1912299967 |
---|---|
Provider Name | Hugo Ruben Martinez |
First Address | Memphis, TN 38103-2802 |
Second Address | Memphis, TN 38105-4625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2011 |
Last Update Date | 29/08/2018 |