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Individual

DR. KATIA FAJARDO MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2750 W 68TH ST STE 127-128, HIALEAH, FL 33016-5446
(305) 558-0766
(305) 558-0766
Mailing address
14652 SW 10TH ST, MIAMI, FL 33184-3533
(786) 469-1691

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21030
PR
208D00000X
General Practice Physician
Primary
ACN1096
FL

Other

Enumeration date
06/14/2018
Last updated
10/15/2018
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