Individual
MR. ANDRES ROBERTO CHACON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 NW 17TH ST # 5, MIAMI, FL 33136-1119
(305) 243-2742
Mailing address
185 SE 14TH TER APT 2102, MIAMI, FL 33131-3420
(561) 766-3472
(561) 766-3472
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
21514
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346775566
—
FL
Enumeration date
04/25/2017
Last updated
06/15/2021
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