# MART MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1801427463
- **Authorized official:** ROBERTO MARTINEZ TORRES (PRESIDENT)
- **Authorized official phone:** (786) 640-0602

## Contact information

- **Practice address:** 7311 NW 36TH ST UNIT 7311, MIAMI, FL 33166-6704
- **Practice address phone:** (786) 640-0602
- **Practice address fax:** (786) 640-0603
- **Mailing address:** 6101 SW 76TH ST, SOUTH MIAMI, FL 33143-5021
- **Mailing address phone:** (305) 342-4737

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2020
- **Last updated:** 04/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1047924 | DCF LICENSE | FL |
| 01 | — | 1047925 | INTENSIVE OUTPATIENT TREATMENT | FL |
| 01 | — | 1047926 | DCF LICENSE | FL |
| 01 | — | NG312 | AHCA | FL |