Dr ENRIQUE J MORENO MARTINEZ is a male medical professional, specializing in Vascular Surgery. He graduated in 2004.
FAITH REGIONAL PHYSICIAN SERVICES LLC
110 N 29TH ST
302 FRPS CARDIOTHORACIC SURGERY
NORFOLK
NE
687014466
Tel: 4028448242
| Npi | 1225349079 |
| Pac Id | 9032426135 |
| Professional Enrollment Id | I20150923000056 |
| Last Name | MORENO MARTINEZ |
| First Name | ENRIQUE |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | VASCULAR SURGERY |
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| Organization Legal Name | FAITH REGIONAL PHYSICIAN SERVICES LLC |
| Group Practice Pac Id | 5193786168 |
| Number Of Group Practice Members | 130 |
| Line 1 Street Address | 110 N 29TH ST |
| Line 2 Street Address | 302 FRPS CARDIOTHORACIC SURGERY |
| Marker Of Address Line 2 Suppression | |
| City | NORFOLK |
| State | NE |
| Zip Code | 687014466 |
| Phone Number | 4028448242 |
| Hospital Affiliation Ccn 1 | 280125 |
| Hospital Affiliation Lbn 1 | FAITH REGIONAL HEALTH SERVICES |
| Hospital Affiliation Ccn 2 | 281329 |
| Hospital Affiliation Lbn 2 | AVERA ST ANTHONY'S HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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