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NPI Code Detail

MEDICARE: DIANIK MARTINEZ M.D

MEDICARE: DIANIK 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
1207Q00000XFamily Medicine PhysicianME103243FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851539415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANIK MARTINEZ M.D
Provider Business Mailing Address
First Line : 8600 NW 41ST ST
Second Line :
City : DORAL
State : FL
Zip : 33166-6202
Country : US
Telephone Number : 305-642-5366
Fax Number :
Provider Business Practice Location Address
First Line : 11501 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-3313
Country : US
Telephone Number : 305-642-5366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2009
Last Update Date : 05/18/2026

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