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NPI Code Detail

MEDICARE: DR. MARITZA MARTINEZ MD

MEDICARE: DR. MARITZA 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
1208D00000XGeneral Practice Physician13590PR
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician13590PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113590OTHERPRMD LICENSE

General Provider Information

NPI Number : 1215024583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARITZA MARTINEZ MD
Provider Business Mailing Address
First Line : 2248 BROADWAY STE 1329
Second Line :
City : NEW YORK
State : NY
Zip : 10024-5805
Country : US
Telephone Number : 315-533-0453
Fax Number : 315-505-2458
Provider Business Practice Location Address
First Line : 500 S AUSTRALIAN AVE STE 600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6237
Country : US
Telephone Number : 315-505-2400
Fax Number : 315-505-2458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 05/04/2024

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