Healthcare Provider Details

I. General information

NPI: 1346319118
Provider Name (Legal Business Name): CARLOS MARTINEZ-SOLIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date: 09/19/2022
Reactivation Date: 10/11/2022

III. Provider practice location address

1344 S APOLLO BLVD STE 2A
MELBOURNE FL
32901-3183
US

IV. Provider business mailing address

1344 S APOLLO BLVD STE 406
MELBOURNE FL
32901-3185
US

V. Phone/Fax

Practice location:
  • Phone: 321-722-9731
  • Fax:
Mailing address:
  • Phone: 321-727-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0069716
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: