MEDICARE: R M ORTHOPEDICS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME49725	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02501	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4240150	OTHER	FL	AETNA
4	160021	OTHER	FL	WELLCARE

General Provider Information

NPI Number	:	1063481638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R M ORTHOPEDICS PA

Provider Business Mailing Address
First Line	:	1530 LEE BLVD
Second Line	:	#1300
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4893
Country	:	US
Telephone Number	:	239-368-5777
Fax Number	:	239-368-5972

Provider Business Practice Location Address
First Line	:	1530 LEE BLVD
Second Line	:	#1300
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4893
Country	:	US
Telephone Number	:	239-368-5777
Fax Number	:	239-368-5972

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT MARTINEZ
Credential	:	MD
Telephone Number	:	238-368-5777

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	04/15/2009

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Directions to “R M ORTHOPEDICS PA ” Practice Location

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