Individual
LUIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
16442 SW 97TH ST, MIAMI, FL 33196-5829
(786) 274-2248
Mailing address
16442 SW 97 ST, MIAMI, FL 33196
(786) 274-2248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65345
FL
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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