# A PRESTIGE WELLNESS CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093969024
- **Authorized official:** LUIS A MARTINEZ MD (OWNER)
- **Authorized official phone:** (305) 433-2005

## Contact information

- **Practice address:** 3650 NW 82 AVE, SUITE \#503, DORAL, FL 33166
- **Practice address phone:** (305) 433-2005
- **Practice address fax:** (305) 591-8020
- **Mailing address:** 3650 NW 82 AVE, SUITE \#503, DORAL, FL 33166
- **Mailing address phone:** (305) 433-2005
- **Mailing address fax:** (305) 591-8020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME96872 | FL | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 08/16/2010