Individual
DR. ENERCIDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4090 S RIDGEWOOD AVE, PORT ORANGE, FL 32127-4501
(386) 761-0050
(386) 761-1167
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
15802
PR
208D00000X
General Practice Physician
Primary
ACN909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23050MA
TRIPLE-S PROVIDER NUMBER
PR
Enumeration date
01/03/2006
Last updated
12/10/2024
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