Healthcare Provider Details

I. General information

NPI: 1124053061
Provider Name (Legal Business Name): JOSE A MARTEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SUNSET DR SUITE 401
SOUTH MIAMI FL
33143-4828
US

IV. Provider business mailing address

6200 SUNSET DR SUITE 401
SOUTH MIAMI FL
33143-4828
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-4633
  • Fax: 305-662-5754
Mailing address:
  • Phone: 305-666-4633
  • Fax: 305-662-5754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME92227
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME92227
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: