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General NPI Number Information
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NPI Number | 1891957940
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Entity Type | Individual
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Provider Name | EDUARDO MIGUEL MARTINEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 7300 SW 93RD AVE STE 200
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City | MIAMI
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State | FL
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Zip | 33173-3212
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Country | US
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Telephone | 305-903-0510
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Fax | 305-663-5929
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Provider Business Mailing Address
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Address Line | 7300 SW 93RD AVE STE 200
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City | MIAMI
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State | FL
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Zip | 33173-3212
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Country | US
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Telephone | 305-971-0510
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Fax | 305-663-5929
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301093015
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME112645
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License Number State | FL
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