MEDICARE: DR. AICMEE MARTINEZ DMD

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	1223P0221X	Pediatric Dentistry	15204	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	:	1467540591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AICMEE MARTINEZ DMD

Provider Business Mailing Address
First Line	:	17660 NW 78TH AVE STE 105
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-3663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17660 NW 78TH AVE STE 105
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-3663
Country	:	US
Telephone Number	:	305-558-8144
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	02/24/2026

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