Individual
GUSTAVO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 547-6468
(305) 547-6469
Mailing address
PO BOX 141877, CORAL GABLES, FL 33114-1877
(305) 547-6468
(305) 547-6469
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100260
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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