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NPI Code Detail

MEDICARE: DR. ELIZABETH MARTINEZ M.D.

MEDICARE: DR. ELIZABETH MARTINEZ M.D.
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
1207R00000XInternal Medicine PhysicianME104004FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255533048
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH MARTINEZ M.D.
Provider Business Mailing Address
First Line : 8600 NW 41ST STREET
Second Line :
City : DORAL
State : FL
Zip : 33166
Country : US
Telephone Number : 305-642-5366
Fax Number :
Provider Business Practice Location Address
First Line : 7950 NW 2ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33126-8017
Country : US
Telephone Number : 305-642-5366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 08/10/2017

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