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NPI Code Detail

MEDICARE: JOSE A MARTINEZ L.M.T

MEDICARE:   JOSE A MARTINEZ  L.M.T
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
1225700000XMassage TherapistMA61089FL

General Provider Information

NPI Number : 1801172382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE A MARTINEZ L.M.T
Provider Business Mailing Address
First Line : 801 NW 47TH AVE APT W502
Second Line :
City : MIAMI
State : FL
Zip : 33126-2564
Country : US
Telephone Number : 786-307-5445
Fax Number :
Provider Business Practice Location Address
First Line : 801 NW 47TH AVE APT W502
Second Line :
City : MIAMI
State : FL
Zip : 33126-2564
Country : US
Telephone Number : 786-307-5445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 10/27/2011

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Directions to “ JOSE A MARTINEZ L.M.T” Practice Location

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