Individual ProviderAlex MartinezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3961 Via Marisol, Apt 203, Los Angeles, CA 90042-5076(619) 495-6052PECOS EnrollmentBased on the most recent information from CMS, provider Alex Martinez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194314161Provider TypeIndividualFull NameMartinez, AlexGenderMaleSole ProprietorYesEnumeration Date1/14/2021Last Updated7/8/2022Contact InformationPractice LocationPractice Address3961 Via Marisol, Apt 203, Los Angeles, CA 90042-5076Phone(619) 495-6052FaxUnlisted FaxMailing LocationMailing Address3961 Via Marisol Apt 203, Los Angeles, CA 90042-5076Phone(619) 495-6052FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense299412California