MEDICARE: DR. JOSE RAMON MARTINEZ-ALBA JR. 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
1	208600000X	Surgery Physician	ME55751	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1962507038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE RAMON MARTINEZ-ALBA JR. M.D.

Provider Business Mailing Address
First Line	:	7100 W 20TH AVE
Second Line	:	PALMETTO MEDICAL PLAZA SUITE 514
City	:	HIALEAH
State	:	FL
Zip	:	33016-1897
Country	:	US
Telephone Number	:	305-556-2255
Fax Number	:	305-821-7958

Provider Business Practice Location Address
First Line	:	7100 W 20TH AVE
Second Line	:	PALMETTO MEDICAL PLAZA SUITE 514
City	:	HIALEAH
State	:	FL
Zip	:	33016-1824
Country	:	US
Telephone Number	:	305-556-2255
Fax Number	:	305-821-7958

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	03/12/2020

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