Individual
EMANUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(786) 441-5332
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(786) 441-5332
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036156897
IL
390200000X
Student in an Organized Health Care Education/Training Program
TRN26600
FL
Other
Enumeration date
07/06/2018
Last updated
03/28/2022
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