Individual
ILSYS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7200 NW 7TH ST STE 150, MIAMI, FL 33126-2941
(305) 266-2929
(786) 558-0242
Mailing address
10580 SW 160TH CT, MIAMI, FL 33196-3181
(305) 338-0530
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN1280
DOH LICENSE
FL
Enumeration date
12/09/2020
Last updated
12/09/2020
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