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Individual

DANIEL ROBERTO MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME117540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012201800
FL
01
14V1K
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/10/2009
Last updated
10/14/2021
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