Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 28476 | TN |
N | 2081P2900X | Pain Medicine | 28476 | TN |
NPI | 1427045111 |
---|---|
Provider Name | Santos F Martinez |
First Address | Germantown, TN 38138-2205 |
Second Address | Germantown, TN 38138-2205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00120088 | (05) | MS |
145244001 | (05) | AR |
3805028 | (05) | TN |
D46032 | (02) | TN |