IndividualActive
Jonathan Martinez
NPI 1659753952 · Pediatrics Physician · Minot Afb, ND
Provider details
- NPI number
- 1659753952
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 38529 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10 Missile Ave
Minot Afb, ND 58705-5003
Phone: (701) 723-5491
Fax: (701) 723-5391
Approximate (ZIP-level) locationGet directions
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Additional practice locations (1)
- 169 Ashley AveRoom 202 Main Hospital Msc 333Charleston, SC 29425-8905Phone: (843) 792-3072
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.