Individual ProviderPaul Ivan MartinezOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404(210) 617-5300(915) 253-2591PECOS EnrollmentBased on the most recent information from CMS, provider Paul Ivan Martinez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679115026Provider TypeIndividualFull NameMartinez, Paul IvanCredentialOTR, MOTGenderMaleSole ProprietorNoEnumeration Date10/16/2019Last Updated10/16/2019Contact InformationPractice LocationPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404Phone(210) 617-5300FaxUnlisted FaxMailing LocationMailing Address5707 Tpc Pkwy Apt 921, San Antonio, TX 78261-2788Phone(915) 253-2591FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense117107Texas