Individual
DR. JOSE MANUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12494 SW 127TH AVE, MIAMI, FL 33186-6597
(786) 527-9172
Mailing address
PO BOX 566480, MIAMI, FL 33256-6480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME54954
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME54954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611018-00
—
FL
Enumeration date
07/10/2006
Last updated
01/15/2021
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