Organization
JOSE R MARTIN SR MD MPS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R MARTIN SR. MD (PRESIDENT)
(305) 608-7883
Entity
Organization
Contact information
Practice address
3970 W FLAGLER ST, SUITE 101, CORAL GABLES, FL 33134-1642
(305) 608-7883
Mailing address
3970 W FLAGLER ST, SUITE 101, CORAL GABLES, FL 33134-1642
(305) 608-7883
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037548900
—
FL
Enumeration date
11/17/2006
Last updated
02/21/2012
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