MEDICARE: RICARDO MARTINEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME115110	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L1428	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003128828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO MARTINEZ MD

Provider Business Mailing Address
First Line	:	851 5TH AVE N STE 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5582
Country	:	US
Telephone Number	:	239-315-7801
Fax Number	:	855-888-3291

Provider Business Practice Location Address
First Line	:	851 5TH AVE N STE 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5582
Country	:	US
Telephone Number	:	239-315-7801
Fax Number	:	855-888-3291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2010
Last Update Date	:	02/17/2023

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Directions to “ RICARDO MARTINEZ MD” Practice Location

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