MEDICARE: DR. ADOLFO R MARTINEZ M.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
1	207Q00000X	Family Medicine Physician	ME 86711	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	:	1508817438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADOLFO R MARTINEZ M.D

Provider Business Mailing Address
First Line	:	1316 SW 150TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33194-2538
Country	:	US
Telephone Number	:	305-264-1131
Fax Number	:

Provider Business Practice Location Address
First Line	:	8480 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4153
Country	:	US
Telephone Number	:	305-264-1131
Fax Number	:

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/15/2010

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