Individual
MARIA DEL C MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2195
(337) 470-2019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.203383
LA
208M00000X
Hospitalist Physician
MD.203383
LA
208M00000X
Hospitalist Physician
Primary
ME133677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100622500
—
FL
05
—
1239411
—
LA
01
—
JL807
MEDICARE
FL
Enumeration date
07/18/2007
Last updated
03/21/2019
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