# MARIANO M. MARTINEZ MD PA

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

## Provider details

- **NPI number:** 1679814529
- **Authorized official:** MARIANO M MARTINEZ MD (PRESIDENT)
- **Authorized official phone:** (786) 553-1363

## Contact information

- **Practice address:** 5242 NW 106TH CT, DORAL, FL 33178-6638
- **Practice address phone:** (305) 455-7431
- **Practice address fax:** (305) 455-7435
- **Mailing address:** 7000 SW 62ND AVE, SUITE 300, SOUTH MIAMI, FL 33143-4716
- **Mailing address phone:** (305) 455-7431
- **Mailing address fax:** (305) 455-7435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 03/01/2013