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NPI Code Detail

MEDICARE: DR. JOSE OMAR MARTINEZ

MEDICARE:  DR. JOSE OMAR MARTINEZ
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
1111N00000XChiropractor12045FL

General Provider Information

NPI Number : 1619415692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE OMAR MARTINEZ
Provider Business Mailing Address
First Line : 3365 S FEDERAL HWY APT A
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-8823
Country : US
Telephone Number : 787-454-5696
Fax Number :
Provider Business Practice Location Address
First Line : 2624 FOREST HILL BLVD
Second Line :
City : WEST PALM
State : FL
Zip : 33406
Country : US
Telephone Number : 787-454-5696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2017
Last Update Date : 02/09/2017

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Directions to “ DR. JOSE OMAR MARTINEZ ” Practice Location

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