Provider Demographics
NPI:1053720011
Name:MARTINEZ, MARIA SIFUENTES (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:SIFUENTES
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:SIFUENTES
Other - Last Name:ARRIOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:6601 MONTANA AVE STE G&H
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2155
Mailing Address - Country:US
Mailing Address - Phone:915-838-7604
Mailing Address - Fax:915-772-4633
Practice Address - Street 1:6601 MONTANA AVE STE G&H
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2155
Practice Address - Country:US
Practice Address - Phone:915-838-7604
Practice Address - Fax:915-772-4633
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17735235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist