Individual
JUAN ERNESTO MARTINEZ ARENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 NW 107TH AVE STE 110, MIAMI, FL 33172-3100
(305) 964-5426
(305) 964-5627
Mailing address
4872 NW 97TH PL, DORAL, FL 33178-1988
(786) 598-6855
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M635-425-93-269-0
LICENCE FLORIDA
FL
Enumeration date
06/06/2022
Last updated
06/06/2022
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