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Ivan Martinez, MD
Student in an Organized Health Care Education/Training Program in Kenner, Louisiana
NPI 1265019392

Ivan Martinez is a Student in an Organized Health Care Education/Training Program based in Kenner, LA. Ivan Martinez practices in Kenner, LA and has the professional credentials of MD. The NPI Number for Ivan Martinez is 1265019392 and holds a License No. (Louisiana).

The current practice location address for Ivan Martinez is 200 W Esplanade Ave Ste 412, Kenner, LA and can be reached out via phone at 504-464-2940 and via fax at 504-464-2941. You can also correspond with Ivan Martinez through the mailing address at 200 W ESPLANADE AVE STE 412, KENNER, LA - 70065-2475 (mailing address contact number: 504-464-2940).

Location: 200 W Esplanade Ave Ste 412, Kenner, LA, 70065-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265019392
Provider Name
Ivan Martinez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 W Esplanade Ave Ste 412, Kenner, LA, 70065-2475
Phone Number
504-464-2940
Fax Number
504-464-2941
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 W Esplanade Ave Ste 412
City
Kenner
State
Louisiana
Zip
70065-2475
Phone Number
504-464-2940
Fax Number
504-464-2941
person
Provider Business Mailing Address Details
Address
200 W Esplanade Ave Ste 412
City
Kenner
State
Louisiana
Zip
70065-2475
Phone Number
504-464-2940
Fax Number
504-464-2941
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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