# ALBERT G LOGUN M D HUBERT G MARTINEZ M D P A

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

## Provider details

- **NPI number:** 1598791774
- **Authorized official:** DR. JORGE LUIS DIAZ D.O. (PRESIDENT)
- **Authorized official phone:** (305) 821-6112

## Contact information

- **Practice address:** 7100 W 20TH AVE STE 401, HIALEAH, FL 33016-1811
- **Practice address phone:** (305) 821-6112
- **Practice address fax:** (305) 821-6112
- **Mailing address:** 7100 W 20TH AVE STE 401, HIALEAH, FL 33016-1811
- **Mailing address phone:** (305) 821-6112
- **Mailing address fax:** (305) 821-9050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | OS7912 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 03/17/2018
