| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REYNA MARTIN | 1114501830 | 2022-04-20 |
Reyna Martin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114501830. Registration indicates Reyna Martin is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Reyna Martin |
| Practice Office Address | 16928 W BELL RD STE 701 SURPRISE, AZ US |
| Practice Office Telephone | 6238500026 |
| Practice Office Fax | 6238500027 |
| Mailing Address | 24701 N LAKE PLEASANT PKWY UNIT 1037 PEORIA, AZ 853831582 US |
| Business Telephone | 6232563606 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |