Mayra Crystal Perez Martinez, is a
Community/behavioral Health based in San Jose, California. Mayra Crystal Perez Martinez is licensed to practice in California (license number R1537371123) and her current practice location is
2090 Evans Ln, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 793-2400.
NPI number for Mayra Crystal Perez Martinez is 1164296687 and her current mailing address is 2090 Evans Ln, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164296687.
Healthcare Provider's Profile
| Full Name | Mayra Crystal Perez Martinez |
|---|
| Gender | Female |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 2090 Evans Ln, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164296687
- Provider Enumeration Date: 11/15/2023
- Last Update Date: 05/26/2026
Medical Identifiers
Medical identifiers for Mayra Crystal Perez Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164296687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1537371123 (California) | Secondary |
| 251S00000X | Community/behavioral Health | R1537371123 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mayra Crystal Perez Martinez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mayra Crystal Perez Martinez, 2090 Evans Ln, San Jose, CA 95125-2072 Ph: (408) 793-2400 | Mayra Crystal Perez Martinez, 2090 Evans Ln, San Jose, CA 95125-2072 Ph: (408) 793-2400 |
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