Ricardo Juan Martinez-Cortines, MD
Individual provider Active NPI Internal Medicine Physician · Grundy, VA
NPI 1851340343 · NPPES record last updated Mar 30, 2011
Key facts
- NPI
- 1851340343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101248664 (VA)
- Practice address
- 1532 Slate Creek Rd
Suite 206
Grundy, VA 24614-6975 - Phone
- (276) 935-1167
- Fax
- (276) 935-1219
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101248664 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Health Care LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101248664 | VA | Yes |
Addresses
Primary practice location
1532 Slate Creek Rd
Suite 206
Grundy, VA 24614-6975
Mailing address
PO Box 669
Grundy, VA 24614-0669
Phone (276) 935-1167
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851340343 | Medicaid | VA |
Other providers in Grundy, VA
- Shaina Reese-Ann Lester
- Zackary Allen Lester
- Levisa Pharmacies Inc
- Donna Ward Lockhart
- Pamela Looney
- Jessie Geneva Matney
- Alyson Paige Meadows
- Med-Supply
- Medical Park Pharmacy Inc
- Merritt Physical Therapy & Reabilitation Inc. PC
All providers in Grundy, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.