MEDICARE: PATRICIA HENRIQUEZ 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	207Q00000X	Family Medicine Physician	ME169615	FL

General Provider Information

NPI Number	:	1134796857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA HENRIQUEZ MARTINEZ MD

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 S COMPASS WAY
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-2369
Country	:	US
Telephone Number	:	954-962-9811
Fax Number	:	844-893-4844

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

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	03/04/2026

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