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Luis Alberto Martin

Internal Medicine

Allopathic & Osteopathic Physicians

4800 Alberta Ave, El Paso, TX 79905-2709

PECOS Enrollment

This provider is enrolled in PECOS as LUIS MARTIN.

Based on the most recent information from CMS, provider Luis Alberto Martin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1588874085
Provider Type
Individual
Full Name
Martin, Luis Alberto
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/23/2007
Last Updated
7/8/2007

Contact Information

Practice Location

4800 Alberta Ave, El Paso, TX 79905-2709

(915) 545-6626

(915) 545-6634

Mailing Location

4800 Alberta Ave, El Paso, TX 79905-2709

(915) 545-6626

(915) 545-6634

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10018606 Texas

Luis Alberto Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rodriguez Castro, Carlos E

Colato, Luis Ramon

Woods, Gordon L

Ditangco, Roseller Martin

Tahir, Muhammad Moiz

Ogden, Paul E.

Kattamuri, Lakshmi Prasanna Vai

Barron, Elaine Mowinski

Luna Ceron, Eder

Marioni, Noe