Basic Information
| Provider Information | |||||||||
| NPI: | 1396793295 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARTINEZ | ||||||||
| FirstName: | JIM | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7517 N CAMINO SIN VACAS | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857181296 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5202194131 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6236 E PIMA | ||||||||
| Address2: | ARIZONA COMMUNITY PHYSICIANS PC | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203276874 | ||||||||
| FaxNumber: | 5203270028 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 07/25/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 12334 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.