Individual
IVAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT, CPHT
Contact information
Practice address
3650 NW 36TH ST, APT 208, MIAMI, FL 33142-4912
(954) 470-0068
Mailing address
PO BOX 5175, HIALEAH, FL 33014-1175
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 50610
FL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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