Individual
MIGUEL ANTONIO MARTINEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6940 NW 186TH ST, APT 324, HIALEAH, FL 33015-3252
(786) 315-8952
Mailing address
6940 NW 186TH ST, APT 324, HIALEAH, FL 33015-3252
(786) 315-8952
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-682
FL
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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