# JOSE R MARTIN SR MD MPS PA

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

## Provider details

- **NPI number:** 1427122829
- **Authorized official:** DR. JOSE R MARTIN SR. MD (PRESIDENT)
- **Authorized official phone:** (305) 608-7883

## Contact information

- **Practice address:** 3970 W FLAGLER ST, SUITE 101, CORAL GABLES, FL 33134-1642
- **Practice address phone:** (305) 608-7883
- **Mailing address:** 3970 W FLAGLER ST, SUITE 101, CORAL GABLES, FL 33134-1642
- **Mailing address phone:** (305) 608-7883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 02/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 037548900 | — | FL |