MEDICARE: DR. MARTIN J. FREY M.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
1	207RC0000X	Cardiovascular Disease Physician	ME55273	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060063671	OTHER	FL	MEDICARE RR

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	08746	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164424719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN J. FREY M.D.

Provider Business Mailing Address
First Line	:	3801 BISCAYNE BLVD STE 300
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-9800
Country	:	US
Telephone Number	:	305-571-0620
Fax Number	:	305-576-8099

Provider Business Practice Location Address
First Line	:	3661 S MIAMI AVE STE 301B
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4232
Country	:	US
Telephone Number	:	305-285-5666
Fax Number	:	866-947-2942

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	01/04/2022

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