Individual provider · Type 1 NPI

Cassidy Martinez

Student in an Organized Health Care Education/Training Program · Portales, NM

NPI number 1992282131 Active

Practice location

1500 S Ave K Station 3, Shroc
Portales, NM 88130

Call (505) 379-6065 Map

Mailing address

1500 S Ave K Station 3 Shroc
Portales, NM 88130-1007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992282131

Cassidy Martinez's National Provider Identifier is 1992282131, issued on Jul 20, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on Jul 20, 2018.