Ingrid L Martinez-Andree | San Diego, CA • PECOS Search

Ingrid L Martinez-Andree

Pediatrics

Allopathic & Osteopathic Physicians

3030 Childrens Way, #112, San Diego, CA 92123

(858) 495-0500 (858) 636-4300

PECOS Enrollment

Based on the most recent information from CMS, provider Ingrid L Martinez-Andree does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1205807203
Provider Type
Individual
Full Name
Martinez-Andree, Ingrid L
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
1/28/2006
Last Updated
2/1/2011

Contact Information

Practice Location

3030 Childrens Way, #112, San Diego, CA 92123

(858) 560-4279

Mailing Location

3860 Calle Fortunada, Suite 200, San Diego, CA 92123

(858) 636-4319

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A63054 California