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NPI Code Detail

MEDICARE: DR. DANIEL MARTINEZ PSY.D.

MEDICARE: DR. DANIEL MARTINEZ PSY.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
1103T00000XPsychologistPY11203FL

General Provider Information

NPI Number : 1447866405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL MARTINEZ PSY.D.
Provider Business Mailing Address
First Line : 4765 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3838
Country : US
Telephone Number : 561-453-2273
Fax Number : 561-536-5620
Provider Business Practice Location Address
First Line : 4765 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3838
Country : US
Telephone Number : 561-453-2273
Fax Number : 561-536-5620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2020
Last Update Date : 08/16/2021

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