Provider Demographics
NPI:1578445961
Name:MARTIR, MIRTA E
Entity type:Individual
Prefix:
First Name:MIRTA
Middle Name:E
Last Name:MARTIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3744 BOCA CHICA BLVD APT 102A
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4014
Mailing Address - Country:US
Mailing Address - Phone:956-455-8922
Mailing Address - Fax:
Practice Address - Street 1:7814 SUNSET COVE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4454
Practice Address - Country:US
Practice Address - Phone:210-787-7135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic