Individual
DR. JESUS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13500 SW 88TH ST, SUITE 249, MIAMI, FL 33186-1515
(305) 552-0402
(786) 542-8880
Mailing address
13500 SW 88TH ST, SUITE 249, MIAMI, FL 33186-1515
(305) 552-0402
(786) 542-8880
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN-15527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188614
FACILITY NUMBER
FL
Enumeration date
06/03/2006
Last updated
12/27/2016
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