# SANTIAGO E. MARTINEZ, M.D., PA

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

## Provider details

- **NPI number:** 1558382119
- **Authorized official:** SANTIAGO MARTINEZ MD (PRESIDENT/OWNER)
- **Authorized official phone:** (407) 203-2301

## Contact information

- **Practice address:** 12315 LAKE UNDERHILL RD, ORLANDO, FL 32828-4507
- **Practice address phone:** (407) 203-2301
- **Practice address fax:** (407) 203-2315
- **Mailing address:** PO BOX 816, GOLDENROD, FL 32733-0816
- **Mailing address phone:** (407) 203-2301
- **Mailing address fax:** (407) 203-2315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/17/2020