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General NPI Number Information
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NPI Number | 1306131040
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Entity Type | Organization
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Legal Business Name | ISIDRO R. MARTINEZ MD LLC
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 7153 VIA FIRENZE
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City | BOCA RATON
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State | FL
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Zip | 33433-1044
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Country | US
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Telephone | 561-866-8448
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Fax | 561-392-3402
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Provider Business Mailing Address
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Address Line | 7153 VIA FIRENZE
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City | BOCA RATON
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State | FL
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Zip | 33433-1044
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Country | US
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Telephone | 561-866-8448
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Fax | 561-392-3402
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. ISIDRO RICARDO MARTINEZ
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Credential | MD
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Telephone | 561-866-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
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License Number | ME94896
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License Number State | FL
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