Myra R Martinez, RN in Santo Domingo Pueblo, NM - Licensed Practical Nurse

Myra R Martinez, RN is a Licensed Practical Nurse based in Santo Domingo Pueblo, New Mexico. Myra R Martinez is licensed to practice in New Mexico (license number LPN-21886) and her current practice location is 85 West Hwy 22, Santo Domingo Pueblo, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 465-3060.

NPI number for Myra R Martinez is 1265212088 and her current mailing address is Po Box 340, Santo Domingo Pueblo, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265212088.

Contact Information

	Myra R Martinez, RN
	85 West Hwy 22, Santo Domingo Pueblo, NM 87052
	(505) 465-3060
	Not Available

Provider's Profile

Full Name	Myra R Martinez
Gender	Female
Speciality	Licensed Practical Nurse
Location	85 West Hwy 22, Santo Domingo Pueblo, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1265212088
Provider Enumeration Date: 09/29/2023
Last Update Date: 09/29/2023

Medical Identifiers

Medical identifiers for Myra R Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265212088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	LPN-21886 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myra R Martinez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Myra R Martinez, RN Po Box 340, Santo Domingo Pueblo, NM 87052-0340 Ph: (505) 465-3060	Myra R Martinez, RN 85 West Hwy 22, Santo Domingo Pueblo, NM 87052 Ph: (505) 465-3060

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Myra R Martinez, RN - Licensed Practical Nurse in Santo Domingo Pueblo, NM