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NPI Code Detail

MEDICARE: JUAN ERNESTO MARTINEZ ARENAS

MEDICARE: JUAN ERNESTO MARTINEZ ARENAS
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M635-425-93-269-0OTHERFLLICENCE FLORIDA

General Provider Information

NPI Number : 1881323913
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN ERNESTO MARTINEZ ARENAS
Provider Business Mailing Address
First Line : 4872 NW 97TH PL
Second Line :
City : DORAL
State : FL
Zip : 33178-1988
Country : US
Telephone Number : 786-598-6855
Fax Number :
Provider Business Practice Location Address
First Line : 790 NW 107TH AVE STE 110
Second Line :
City : MIAMI
State : FL
Zip : 33172-3100
Country : US
Telephone Number : 305-964-5426
Fax Number : 305-964-5627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/06/2022

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Directions to “ JUAN ERNESTO MARTINEZ ARENAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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