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1144809609
CARLOS IVAN MARTINEZ
SANTA FE, NM
NPI
1144809609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2024-0621)
Enumeration Date
2021-04-02
Last Update Date
2024-08-29
Business Address
Mr. CARLOS IVAN MARTINEZ MD
1035 ALTO ST
SANTA FE, NM 87501-2406
Phone number: 505-982-4425
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Mailing Address
Mr. CARLOS IVAN MARTINEZ MD
1035 ALTO ST
SANTA FE, NM 87501-2406
Phone number: 505-982-4425
Copy
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