MEDICARE: DR. RAJENDRA FERNANDO SAWH-MARTINEZ M.D., M.H.S.

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	208200000X	Plastic Surgery Physician	55765	CT
2	208200000X	Plastic Surgery Physician	ME136100	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1235420886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJENDRA FERNANDO SAWH-MARTINEZ M.D., M.H.S.

Provider Business Mailing Address
First Line	:	2629 EDGEWATER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-4459
Country	:	US
Telephone Number	:	773-818-1544
Fax Number	:	407-777-4508

Provider Business Practice Location Address
First Line	:	2629 EDGEWATER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-4459
Country	:	US
Telephone Number	:	407-632-1010
Fax Number	:	407-777-4508

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

Provider Enumeration Date	:	04/29/2011
Last Update Date	:	10/20/2020

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