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NPI Code Detail

MEDICARE: DR. LINDA MARTINEZ PSY.D.

MEDICARE: DR. LINDA MARTINEZ PSY.D.
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
1103TC0700XClinical PsychologistPY5268FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073729216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA MARTINEZ PSY.D.
Provider Business Mailing Address
First Line : 10725 SW 73RD AVE
Second Line :
City : MIAMI
State : FL
Zip : 33156-3823
Country : US
Telephone Number : 305-661-5867
Fax Number :
Provider Business Practice Location Address
First Line : 5801 BISCAYNE BLVD
Second Line :
City : MIAMI
State : FL
Zip : 33137-2638
Country : US
Telephone Number : 305-756-7116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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