MEDICARE: CLAUDIA CHRISTINA MARTINEZ DMD

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	1223G0001X	General Practice Dentistry	DN28332	FL

General Provider Information

NPI Number	:	1255016077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA CHRISTINA MARTINEZ DMD

Provider Business Mailing Address
First Line	:	5501 OLD YORK RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-3018
Country	:	US
Telephone Number	:	215-456-6013
Fax Number	:

Provider Business Practice Location Address
First Line	:	4595 NORTHLAKE BLVD STE 103
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4647
Country	:	US
Telephone Number	:	561-427-7711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	11/26/2024

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