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General NPI Number Information
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NPI Number | 1285803130
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Entity Type | Organization
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Legal Business Name | MARTINEZ TAPIA MD PA
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 8581 SW 32ND TER
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City | MIAMI
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State | FL
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Zip | 33155-3238
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Country | US
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Telephone | 305-562-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 8581 SW 32ND TER
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City | MIAMI
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State | FL
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Zip | 33155-3238
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Country | US
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Telephone | 305-562-1654
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUSTAVO MARTINEZ-TAPIA
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Credential | M.D.
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Telephone | 305-262-9798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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