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NPI Code Detail

MEDICARE: DR. RICARDO MARTINEZ MD

MEDICARE: DR. RICARDO 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 PhysicianME0054750FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285674382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICARDO MARTINEZ MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR
Second Line :
City : MIAMI
State : FL
Zip : 33126-2055
Country : US
Telephone Number : 305-461-6060
Fax Number : 305-461-5911
Provider Business Practice Location Address
First Line : 18623 S DIXIE HWY
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6804
Country : US
Telephone Number : 786-573-9400
Fax Number : 786-573-0824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 12/13/2021

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Directions to “ DR. RICARDO MARTINEZ MD” Practice Location

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