Provider Demographics
NPI:1033923040
Name:MARTINEZ NIETO, ARON ALFREDO (CDL)
Entity type:Individual
Prefix:MR
First Name:ARON
Middle Name:ALFREDO
Last Name:MARTINEZ NIETO
Suffix:
Gender:M
Credentials:CDL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11721 W CARIBBEAN LN
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-6983
Mailing Address - Country:US
Mailing Address - Phone:602-517-3966
Mailing Address - Fax:
Practice Address - Street 1:2820 S 18TH PL STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-4039
Practice Address - Country:US
Practice Address - Phone:602-517-3966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor