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NPI 1346751955

NPI 1346751955 : ALDO H MARTINEZ FLEITES MD PA : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1346751955
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALDO H MARTINEZ FLEITES MD PA 
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Dates
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    Enumeration Date     |    10/23/2017
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    Last Update Date     |    10/23/2017
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Provider Practice Location Address
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    Address Line         |    8545 NW 166TH TER 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33016-6168
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    Country              |    US
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    Telephone            |    305-456-5621
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    Fax                  |    305-646-1134
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Provider Business Mailing Address
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    Address Line         |    8545 NW 166TH TER 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33016-6168
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    Country              |    US
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    Telephone            |    305-456-5621
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    Fax                  |    305-646-1134
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |     ALDO HERIBERTO MARTINEZ FLEITES 
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    Credential           |    
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    Telephone            |    786-208-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    ME103151
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    License Number State |    FL
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