Healthcare Provider Details

I. General information

NPI: 1194827600
Provider Name (Legal Business Name): HECTOR YOSUE MARTINEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5564 E GRANT ST
ORLANDO FL
32822-1666
US

IV. Provider business mailing address

1000 NW 57TH CT STE 400
MIAMI FL
33126-3292
US

V. Phone/Fax

Practice location:
  • Phone: 407-522-2089
  • Fax: 407-241-0283
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN844
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: