| Organization Name: | JESUS A MARTINEZ MD PC |
| NPI Number: | 1598989238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESUS MARTINEZ (GENERAL PRACTICE) |
| Mailing Address: | 2012 Monroe Blvd Suite 104 Dearborn |
| State: | MI US |
| Postal Code: | 48124 |
| Phone Number: | 3133590222 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | JM031056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |