MEDICARE: DR. VICTOR MANUEL 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	208D00000X	General Practice Physician	81463	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81463	OTHER	FL	ME

General Provider Information

NPI Number	:	1124328778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR MANUEL MARTINEZ MD

Provider Business Mailing Address
First Line	:	8900 SW 117TH AVE STE C203
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2156
Country	:	US
Telephone Number	:	305-598-6696
Fax Number	:	305-598-7491

Provider Business Practice Location Address
First Line	:	8900 SW 117TH AVE STE C203
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2156
Country	:	US
Telephone Number	:	305-598-6696
Fax Number	:	305-598-7491

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

Provider Enumeration Date	:	10/29/2010
Last Update Date	:	05/11/2026

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