Organization
AGUSTIN MARTINEZ M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGUSTIN MARTINEZ M.D. (PHYSICIAN)
(305) 822-6885
Entity
Organization
Contact information
Practice address
250 E 49TH ST, HIALEAH, FL 33013-1855
(305) 822-6885
(305) 825-9965
Mailing address
1324 SW 143RD AVE, MIAMI, FL 33184-3223
(305) 822-6885
(305) 825-9965
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME82266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261107400
—
FL
Enumeration date
10/06/2006
Last updated
04/16/2014
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