Individual
LINDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 NW 79TH AVE, SUITE 120, DORAL, FL 33166-6508
(305) 552-7660
(305) 552-7662
Mailing address
3901 NW 79TH AVE, SUITE 120, DORAL, FL 33166
(305) 552-7660
(305) 552-7662
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME125615
FL
208000000X
Pediatrics Physician
ME125615
FL
208D00000X
General Practice Physician
ME125615
FL
Other
Enumeration date
01/29/2014
Last updated
08/19/2021
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