MEDICARE: MARTINEZ TAPIA MD PA

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		FL

General Provider Information

NPI Number	:	1285803130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTINEZ TAPIA MD PA

Provider Business Mailing Address
First Line	:	8581 SW 32ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3238
Country	:	US
Telephone Number	:	305-562-1654
Fax Number	:

Provider Business Practice Location Address
First Line	:	8581 SW 32ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3238
Country	:	US
Telephone Number	:	305-562-1654
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GUSTAVO MARTINEZ-TAPIA
Credential	:	M.D.
Telephone Number	:	305-262-9798

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	09/20/2022

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